Blake Randall Ridgway, CRNA | |
1800 W University Blvd, Durant, OK 74701-3006 | |
(281) 249-5954 | |
Not Available |
Full Name | Blake Randall Ridgway |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1800 W University Blvd, Durant, Oklahoma |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649717091 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 100088 (Oklahoma) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 826001 (Texas) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Blake Randall Ridgway, CRNA 1903 W Evergreen St, Durant, OK 74701-4615 Ph: (316) 644-3355 | Blake Randall Ridgway, CRNA 1800 W University Blvd, Durant, OK 74701-3006 Ph: (281) 249-5954 |
Sean Phillip Klufa, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 W University Blvd, Durant, OK 74701 Phone: 580-924-3080 | |
Grant Roesler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 Bryan Drive, Durant, OK 74702 Phone: 580-931-3312 | |
Mr. Robert James Austin Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 W University Blvd, Durant, OK 74701 Phone: 580-924-3080 |