CLINTON ALSUP

TULSA, OK
NPI1013451939
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OK  117129)
Enumeration Date2016-12-12
Last Update Date2016-12-12
Business Address
-- CLINTON ALSUP
1120 S UTICA AVE
TULSA, OK 74104-4012
Phone number: 800-939-7440
Mailing Address
-- CLINTON ALSUP
10937 S ELGIN AVE
JENKS, OK 74037-2643
Phone number: