Individual
MR. RYAN MATTHEW FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3266 CYPRESS LN, TAHLEQUAH, OK 74464-0653
(918) 431-4591
Mailing address
3266 CYPRESS LN, TAHLEQUAH, OK 74464-0653
(918) 431-4591
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
77287
OK
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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