Individual
MR. JERRY LEE CLAVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6839 S CANTON AVE, TULSA, OK 74136-3402
(918) 494-0612
Mailing address
6130 S HUDSON PL, TULSA, OK 74136-2703
(918) 493-7012
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0036941 C4439016
OK
Other
Enumeration date
07/05/2005
Last updated
08/14/2013
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