Keith Robert Anderson CRNA

NPI 1073590733 - Registered Nurse - 163W00000X

NPI Details
NPI 1073590733
Gender Male
Enumeration Date 12/23/2005
Last Updated 03/22/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
500 SW RAMSEY AVE
GRANTS PASS OR, 97527, US
Phone (541) 472-7000
Fax
Business Location
2620 EAST BARNETT RD
SUITE H
MEDFORD OR, 97504, US
Phone (541) 789-5250
Fax (541) 789-5538
Toxanomy
Taxonomy Code 163W00000X
License State Oregon
License Number 89000337RN
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According to our database, Keith Robert Anderson CRNA NPI is 1073590733, taxonomy code is 163W00000X and license number is 89000337RN, license state is located at Oregon. Keith Robert Anderson CRNA physically located at 500 Sw Ramsey Ave, Grants Pass OR, 97527. NPI Number Keith Robert Anderson CRNA has the Individual type.

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1073590733 NPI number is provided on an as is basis without warranty of any kind. 1073590733 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Robert Anderson CRNA are for informational purposes only.