Individual
RUSSELL EARL CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2629 KADLAN DR, EL RENO, OK 73036-9405
(405) 664-2836
Mailing address
2629 KADLAN DR, EL RENO, OK 73036-9405
(405) 664-2836
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
71120
OK
Other
Enumeration date
08/21/2015
Last updated
11/21/2015
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