Individual
ALBERT ARREDONDO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, CRNA
Contact information
Practice address
4301 MOW-WAY RD, RACH (ATTN:MCUA-QC, MS. PRESCOTT), FORT SILL, OK 73505-6300
(580) 458-2134
(580) 458-2314
Mailing address
7801 NW BRADY WAY, LAWTON, OK 73505-0600
(210) 386-8008
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0087300
OK
163W00000X
Registered Nurse
648163
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
0087300
OK
367500000X
Certified Registered Nurse Anesthetist
648163
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200114700A
—
OK
Enumeration date
01/23/2006
Last updated
12/18/2017
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