Individual
CORY WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4801 INTEGRIS PKWY, EDMOND, OK 73034-8864
(405) 657-3000
Mailing address
1837 KINGS XING, EDMOND, OK 73013-4314
(405) 850-0975
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
224154
OK
Other
Enumeration date
06/12/2025
Last updated
06/26/2025
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