NPI 1003839911
Billy Jack Premo, CRNA
Practice location
- Address
- 2825 Parklawn Dr, Midwest City, OK 73110-4201
- Phone
- (405) 360-7576
- Mailing address
- PO Box 10979, Midwest City, OK 73140-1979
Registered specialties
Certified Registered Nurse Anesthetist
Primary
Registry record
- NPI
- 1003839911
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Jul 2006
- Record last updated
- 12 Mar 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.