Individual
BRADLEY DOUGLAS SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
220 S ELM ST # 200, JENKS, OK 74037-3701
(918) 403-7144
Mailing address
3519 S WHEELING AVE, TULSA, OK 74105-2721
(918) 557-0588
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
223401
OK
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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