Tyler Jordan Bauer, CRNA
Anesthesiology in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1083380901
StatusActive
Last updated in NPPESFeb 1, 2023
Details
- NPI
- 1083380901
- Entity type
- Individual (NPI-1)
- Name
- Tyler Jordan Bauer
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2021
- Certification date
- Feb 1, 2023
- Last updated
- Feb 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 210453 | OK | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
920 Stanton L Young Blvd # Wp1140Oklahoma City, OK 73104-5036
Phone 405-271-4700
Mailing address
5208 Bing CirEdmond, OK 73034-7453
Phone 316-613-1747
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All 472 Anesthesiology Physician providers in Oklahoma City · All 27,799 providers in Oklahoma City
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