Individual
MR. ERIC VANDOORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
750 NE 13TH ST, OKLAHOMA CITY, OK 73104-5010
(405) 271-4351
Mailing address
20 SHAWNEE FOREST CV, LITTLE ROCK, AR 72212-2320
(501) 221-1492
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 101652
OK
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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