Individual
MR. BILLY DON CROW JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2323 N OAK GROVE RD, DRUMRIGHT, OK 74030-5660
(918) 549-5596
Mailing address
2323 N OAK GROVE RD, DRUMRIGHT, OK 74030-5660
(918) 549-5596
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CO280CRNA
AR
367500000X
Certified Registered Nurse Anesthetist
CTP-000114
AR
367500000X
Certified Registered Nurse Anesthetist
R0082272
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200056800A
—
OK
01
—
900522349
MEDICARE GROUP PIN
OK
Enumeration date
08/24/2006
Last updated
03/22/2018
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