BRIAN DALE MACKEY

OKLAHOMA CITY, OK
NPI1134158652
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OK  r 0085277)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  RN094116)
Enumeration Date2006-06-30
Last Update Date2007-07-08
Business Address
-- BRIAN DALE MACKEY CRNA
329 NE 3RD ST APT. 102
OKLAHOMA CITY, OK 73104-4080
Phone number: 405-278-8102
Mailing Address
-- BRIAN DALE MACKEY CRNA
329 NE 3RD ST APT. 102
OKLAHOMA CITY, OK 73104-4080
Phone number: 405-278-8102