Organization
RICHARD NEIL FORTUNE CRNA PC
Active
Organization
RICHARD NEIL FORTUNE CRNA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD NEIL FORTUNE CRNA (PRESIDENT)
(580) 357-8198
Entity
Organization
Contact information
Practice address
412 SW LANDMARK CIR, GERONIMO, OK 73543-5144
(580) 357-8198
Mailing address
412 SW LANDMARK CIR, GERONIMO, OK 73543-5144
(580) 357-8198
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0048255
OK
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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