Individual
JOSIAH J SOAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-1000
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
210414
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2022
Last updated
09/27/2022
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