Individual
GREGORY J DIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-0612
Mailing address
6839 S CANTON AVE, TULSA, OK 74136-3402
(918) 392-4685
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1495296-101
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
78797
OK
Other
Enumeration date
11/20/2007
Last updated
03/11/2021
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