Individual
MR. CHRISTOPHER OUDEKERK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
11830 RANGEVIEW CIR, SALIDA, CO 81201-8541
(252) 622-8289
Mailing address
11830 RANGEVIEW CIR, SALIDA, CO 81201-8541
(252) 622-8289
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
118864
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
194240
NC
Other
Enumeration date
09/15/2005
Last updated
07/24/2024
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