Individual
MR. NORMAN DALE CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
10502 N 110TH EAST AVE, OWASSO, OK 74055-6655
(918) 664-9892
(918) 392-2945
Mailing address
4500 S GARNETT RD, STE 300, TULSA, OK 74146-5229
(918) 664-9892
(918) 392-2945
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0025796
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100788440A
—
OK
Enumeration date
02/09/2006
Last updated
04/27/2009
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