Edmund Carmack CRNA

NPI 1043232010 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1043232010
Gender Male
Enumeration Date 07/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
225 E JACKSON AVE
JONESBORO AR, 72401-3119, US
Phone (870) 932-4211
Fax (870) 931-9141
Business Location
PO BOX 8099
JONESBORO AR, 72403-8099, US
Phone (870) 932-4211
Fax (870) 931-9141
Toxanomy
Taxonomy Code 367500000X
License State Arkansas
License Number C00864
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According to our database, Edmund Carmack CRNA NPI is 1043232010, taxonomy code is 367500000X and license number is C00864, license state is located at Arkansas. Edmund Carmack CRNA physically located at 225 E Jackson Ave, Jonesboro AR, 72401-3119. NPI Number Edmund Carmack CRNA has the Individual type.

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1043232010 NPI number is provided on an as is basis without warranty of any kind. 1043232010 is maintained by the National Plan & Provider Enumeration System. The contents of Edmund Carmack CRNA are for informational purposes only.