Organization
SHEPPARD ANESTHESIA APRN-CRNA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM LEE SHEPPARD APRN-CRNA (OWNER)
(405) 639-9449
Entity
Organization
Contact information
Practice address
13127 SW 41ST ST, YUKON, OK 73099-0702
(405) 639-9449
Mailing address
13127 SW 41ST ST, YUKON, OK 73099-0702
(405) 639-9449
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0071103
OK
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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