| Randall Watson Brady, CRNA | |
|
200 2nd Ave Sw, Miami, OK 74354-6830 | |
| (918) 542-6611 | |
| (918) 787-3635 |
| Full Name | Randall Watson Brady |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 200 2nd Ave Sw, Miami, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902875479 | NPI | - | NPPES |
| 911329803 | Medicaid | MO | |
| 100786990A | Medicaid | OK | |
| 200468380N | Medicaid | OK | |
| 500156500 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R0033098 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Randall Watson Brady, CRNA 5300 N Independence Ave, 280, Oklahoma City, OK 73112-5556 Ph: (918) 542-6611 | Randall Watson Brady, CRNA 200 2nd Ave Sw, Miami, OK 74354-6830 Ph: (918) 542-6611 |
Edward Lynn Sommerhauser, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 2nd Ave Sw, Miami, OK 74354 Phone: 918-542-6611 Fax: 918-787-3864 | |
Mr. Jean Gabriel Richard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 2nd Ave Sw, Miami, OK 74354 Phone: 918-540-7520 Fax: 918-540-7533 | |
Ronald G Sturgeon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 2nd Ave Sw, Miami, OK 74354 Phone: 918-540-7520 | |
Joey Shane Adams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 2nd Ave Sw, Miami, OK 74354 Phone: 918-540-7520 Fax: 918-540-7533 | |
Brittany M Turner, APRN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 2nd Ave Sw, Miami, OK 74354 Phone: 918-540-7520 Fax: 918-540-7533 |