Individual
BRYAN C SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1027 E CHERRY, CUSHING, OK 74023-4101
(918) 225-8258
(918) 225-8122
Mailing address
1145 S UTICA AVE, SUITE 110, TULSA, OK 74104-4013
(918) 579-3825
(918) 579-1262
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
41360912
IL
163W00000X
Registered Nurse
91028
OK
367500000X
Certified Registered Nurse Anesthetist
209006700
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
91028
OK
Other
Enumeration date
07/12/2007
Last updated
12/24/2009
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