Individual
RYAN PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
400 RAMSEY ST, NORMAN, OK 73072-3823
(918) 706-4858
Mailing address
400 RAMSEY ST, NORMAN, OK 73072-3823
(918) 706-4858
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
105032
OK
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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