MATTHEW JAMES WELLER

TULSA, OK
NPI1790876308
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OK  85699)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: OH  075833)
Enumeration Date2006-09-27
Last Update Date2024-08-07
Business Address
MATTHEW JAMES WELLER CRNA
10501 E 91ST ST
TULSA, OK 74133-5790
Phone number: 918-494-0612
Mailing Address
MATTHEW JAMES WELLER CRNA
6839 S CANTON AVE
TULSA, OK 74136-3402
Phone number: 918-494-0612