Individual
RYAN MERIDETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-1000
Mailing address
7072 E 52ND PL, TULSA, OK 74145-7725
(405) 887-1555
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0127087
OK
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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