Individual
DR. FREDERICK DAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2020 W 109TH ST S, JENKS, OK 74037-2686
(918) 209-5532
Mailing address
2020 W 109TH ST S, JENKS, OK 74037-2686
(918) 209-5532
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0089495
OK
Other
Enumeration date
11/14/2013
Last updated
08/07/2014
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