Organization
ABBOTT ANESTHESIA APRN-CRNA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN WALTER ABBOTT CRNA (CRNA)
(405) 922-3246
Entity
Organization
Contact information
Practice address
3957 E COVELL RD, EDMOND, OK 73034-6909
(405) 285-7246
(405) 513-8143
Mailing address
PO BOX 660257, BIRMINGHAM, AL 35266-0257
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/11/2020
Last updated
07/11/2020
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