Individual
SPENSER ZAHARIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 355-8620
Mailing address
PO BOX 207529, DALLAS, TX 75320-7529
(888) 383-7028
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
207036
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/01/2022
Last updated
06/15/2022
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