Individual
SEAN WAYNE POE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3115
(918) 458-3511
Mailing address
100 S BLISS AVE, TAHLEQUAH, OK 74464-2512
(918) 458-3115
(918) 458-3511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0058266
OK
Other
Enumeration date
07/17/2006
Last updated
07/09/2007
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