Individual
MR. JASON EDWARD BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-0612
(918) 481-4170
Mailing address
6839 S CANTON AVE, TULSA, OK 74136-3402
(918) 494-0612
(918) 481-5170
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R090656
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
201464
OK
367500000X
Certified Registered Nurse Anesthetist
C002907
AR
Other
Enumeration date
02/21/2006
Last updated
04/15/2021
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