Individual
MITCHELL LEWIS FRANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-2200
Mailing address
1780 MEADOW MILL CV, CORDOVA, TN 38016-1610
(479) 685-4722
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000202800
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
106985
OK
Other
Enumeration date
06/15/2017
Last updated
07/19/2019
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