Anthony Ray Sierra I CRNA

NPI 1487042651 - Registered Nurse - 163W00000X

NPI Details
NPI 1487042651
Gender Male
Enumeration Date 12/22/2014
Last Updated 01/13/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
4301 W MARKHAM ST
SLOT 783
LITTLE ROCK AR, 72205-7101, US
Phone (501) 614-2113
Fax (501) 526-6562
Business Location
4301 W MARKHAM ST # 783
LITTLE ROCK AR, 72205-7101, US
Phone (501) 614-2113
Fax (501) 526-6562
Toxanomy
Taxonomy Code 163W00000X
License State Arkansas
License Number R088090
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According to our database, Mr. Anthony Ray Sierra I CRNA NPI is 1487042651, taxonomy code is 163W00000X and license number is R088090, license state is located at Arkansas. Anthony Ray Sierra I CRNA physically located at 4301 W Markham St, Little Rock AR, 72205-7101. NPI Number Anthony Ray Sierra I CRNA has the Individual type.

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1487042651 NPI number is provided on an as is basis without warranty of any kind. 1487042651 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony Ray Sierra I CRNA are for informational purposes only.