Individual
MR. JON ERIC ROLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
1923 S UTICA AVE, BOX 217, TULSA, OK 74104-6520
(918) 744-3664
(918) 748-7688
Mailing address
1923 S UTICA AVE, BOX 217, TULSA, OK 74104-6520
(918) 744-3664
(918) 748-7688
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
84412
OK
Other
Enumeration date
12/05/2011
Last updated
02/07/2014
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