Individual
RICHARD B FREEBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1202 N MUSKOGEE PL, CLAREMORE, OK 74017-3058
(918) 341-2556
(918) 342-7850
Mailing address
1202 N MUSKOGEE PL, CLAREMORE, OK 74017-3058
(918) 341-2556
(918) 342-7850
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0031491
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100780970A
—
OK
Enumeration date
04/26/2007
Last updated
08/29/2011
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