Individual
MR. PHILIP NONE STREETMAN
Active
Individual
MR. PHILIP NONE STREETMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0023472
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363399510002
BLUE CROSS BLUE SHEILD
OK
Enumeration date
08/15/2005
Last updated
11/12/2007
Update your record
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