Individual
MR. DOUGLAS E. BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-0612
Mailing address
PO BOX 26901, OKLAHOMA CITY, OK 73126-0901
(405) 271-4351
(450) 271-8695
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
105127
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/14/2012
Last updated
12/06/2021
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