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Contact Information

ALBERT ARREDONDO JR, MSN, CRNA
4301 MOW-WAY RD
RACH (ATTN:MCUA-QC, MS. PRESCOTT)
FORT SILL, OK73505-6300
 Phone: 580-458-2134
 Fax: 580-458-2314
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for ALBERT ARREDONDO JR · (Male)

NPI # 1316917420
Status Active
Credentials MSN, CRNA
Entity Individual
Enumeration date 01/23/2006
Last updated 12/18/2017 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 0087300
  • TX License # 648163
  • OK Medicaid 200114700A
Hospital affiliation(s)
  • SOUTHWESTERN MEDICAL CENTER - (Acute Care)
    5602 SOUTHWEST LEE BOULEVARD
    LAWTON, OK 73505
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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