Individual
JOHN W DEW II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1003 NW BECONTREE PL, LAWTON, OK 73505-4126
(580) 591-1910
(580) 536-2067
Mailing address
PO BOX 6418, LAWTON, OK 73506-0418
(580) 591-1910
(580) 536-2067
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0040753
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100781740A
—
OK
Enumeration date
08/19/2005
Last updated
10/26/2011
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