Individual
WESLEY D. BENNETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8801 S 101ST EAST AVE, TULSA, OK 74133-5716
(918) 294-4915
(918) 294-4947
Mailing address
8801 S 101ST EAST AVE, TULSA, OK 74133-5716
(918) 294-4915
(918) 294-4947
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R84845
OK
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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