Keith S Ewer CRNA

NPI 1104916113 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1104916113
Gender Male
Enumeration Date 10/13/2006
Last Updated 07/19/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
474 SOUTHWOOD CIR
CABOT AR, 72023-8917, US
Phone (501) 843-5858
Fax
Business Location
474 SOUTHWOOD CIRCLE
CABOT AR, 72023-8917, US
Phone (501) 843-5858
Fax
Toxanomy
Taxonomy Code 367500000X
License State Arkansas
License Number C00270
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According to our database, Mr. Keith S Ewer CRNA NPI is 1104916113, taxonomy code is 367500000X and license number is C00270, license state is located at Arkansas. Keith S Ewer CRNA physically located at 474 Southwood Cir, Cabot AR, 72023-8917. NPI Number Keith S Ewer CRNA has the Individual type.

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1104916113 NPI number is provided on an as is basis without warranty of any kind. 1104916113 is maintained by the National Plan & Provider Enumeration System. The contents of Keith S Ewer CRNA are for informational purposes only.