Organization
WILLIAM C BRASHER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C BRASHER CRNA (OWNER)
(405) 382-4050
Entity
Organization
Contact information
Practice address
100 SE 59TH ST, OKLAHOMA CITY, OK 73129-3616
(405) 382-4050
(405) 382-4050
Mailing address
PO BOX 3699, SHAWNEE, OK 74802-3699
(405) 382-4050
(405) 382-1462
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0024840
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200007140A
—
OK
Enumeration date
08/31/2006
Last updated
06/09/2009
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