Individual
BRIAN STEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3100
Mailing address
8607 N 76TH PL E, OWASSO, OK 74055
(208) 451-4504
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
149682
OK
Other
Enumeration date
05/20/2024
Last updated
06/29/2024
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