Individual
GORDON SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-0612
Mailing address
6839 S CANTON AVE, TULSA, OK 74136-3402
(918) 392-4685
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
219124
OK
367500000X
Certified Registered Nurse Anesthetist
950002210
CA
367500000X
Certified Registered Nurse Anesthetist
AP127559
TX
367500000X
Certified Registered Nurse Anesthetist
CRNA233819
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346103001
—
TX
Enumeration date
04/23/2015
Last updated
09/23/2024
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