Individual
MR. JEAN GABRIEL RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 2ND AVE SW, MIAMI, OK 74354-6830
(918) 540-7520
(918) 540-7533
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(918) 540-7520
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
674661
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
98467
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166648902
—
TX
Enumeration date
12/29/2005
Last updated
10/16/2019
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