Individual provider · NPI-1

Chris Russell Boren

Specialist/Technologist, Other, Surgical Technologist · Oklahoma City, OK

NPI number1437295128
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1437295128
Entity type
Individual (NPI-1)
Name
Chris Russell Boren
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 29, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246ZS0410X Specialist/Technologist, Other, Surgical Technologist––Yes

Practice location

2020 N Indiana Ave
Oklahoma City, OK 73106-1629

Phone 405-227-9405

Mailing address

2020 N Indiana Ave
Oklahoma City, OK 73106-1629

Phone 405-227-9405

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