Billy Jack Premo, CRNA
NPI #1003839911 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1003839911
- Entity Type
- Individual
- Name
- Billy Jack Premo, CRNA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Jul 25, 2006
- Last Updated
- Mar 12, 2015
Practice Location
- Address
- 2825 PARKLAWN DR
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73110-4201
- Phone
- (405) 360-7576
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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