Individual
JASON RAY FALCONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3650 W ROCK CREEK RD, SUITE 100, NORMAN, OK 73072-2202
(405) 701-3418
(405) 701-3451
Mailing address
3650 W ROCK CREEK RD, SUITE 100, NORMAN, OK 73072-2202
(405) 701-3418
(405) 701-3451
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
73387
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200317440A
—
OK
Enumeration date
11/30/2010
Last updated
04/29/2020
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