Individual
ROBIN J DECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5501 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2074
(918) 664-9892
(918) 664-2521
Mailing address
PO BOX 248875, OKLAHOMA CITY, OK 73124-8875
(918) 392-2944
(918) 664-2521
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0068461
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200227040A
—
OK
01
—
P00714515
RAILROAD MEDICARE
—
Enumeration date
12/05/2008
Last updated
01/30/2014
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