Individual
MR. DALTON BLAKE THAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1200 E PECAN ST, ALTUS, OK 73521-6192
(580) 379-5000
Mailing address
20756 E COUNTY ROAD 153, BLAIR, OK 73526-9129
(318) 344-3621
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
128248
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200747670A
—
OK
Enumeration date
01/01/2018
Last updated
09/03/2025
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