Organization
ROGER D HANLEY CRNA INC
Active
Organization
ROGER D HANLEY CRNA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER D HANLEY CRNA (PRESIDENT)
(580) 512-4141
Entity
Organization
Contact information
Practice address
419 W GRAY ST, NORMAN, OK 73069-7117
(405) 329-7300
(405) 364-5379
Mailing address
5005 SW MALCOM RD, LAWTON, OK 73505-9701
(580) 512-4141
(580) 536-4242
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0030656
OK
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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