Individual
MR. ANDREW THOMAS STEVENSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 N LEE AVE, OKLAHOMA CITY, OK 73102-1036
(405) 272-7000
(405) 272-8451
Mailing address
1000 N LEE AVE, OKLAHOMA CITY, OK 73102-1036
(405) 272-7000
(405) 272-8451
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R084170
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
114554
OK
367500000X
Certified Registered Nurse Anesthetist
CTP-000259
AR
Other
Enumeration date
01/28/2014
Last updated
09/26/2014
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