Ronald Lee Matheson, CRNA | |
710 So 13th, Blackwell, OK 74631 | |
(580) 363-9421 | |
(580) 363-2339 |
Full Name | Ronald Lee Matheson |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 710 So 13th, Blackwell, Oklahoma |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184799629 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | R0029132 (Oklahoma) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 26559 (Oklahoma) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ronald Lee Matheson, CRNA 2708 Ames Avenue, Ponca City, OK 74604 Ph: (580) 765-8319 | Ronald Lee Matheson, CRNA 710 So 13th, Blackwell, OK 74631 Ph: (580) 363-9421 |
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