Individual
MR. LARRY FREDERICK PATRICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9500 BROADWAY EXT, OKLAHOMA CITY, OK 73114-7425
(405) 475-0600
(405) 475-0610
Mailing address
16505 THORTON LN, EDMOND, OK 73003-6883
(405) 607-4824
(405) 607-4824
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0024225
OK
Other
Enumeration date
10/20/2005
Last updated
07/08/2007
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