Individual
ANTONIO P LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(918) 664-9892
(918) 664-2521
Mailing address
4500 S GARNETT RD, SUITE 300, TULSA, OK 74146-5229
(918) 664-9892
(918) 664-2521
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1028924887
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
R82661
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177921001
—
AR
05
—
200230880A
—
OK
01
—
771102801
BREASTCARE
AR
Enumeration date
03/28/2006
Last updated
02/10/2012
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