Kristopher Richard Jangrow CRNA

NPI 1174710925 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1174710925
Gender Male
Enumeration Date 09/26/2007
Last Updated 08/25/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
327 MEDICAL PARK DRIVE
BRIDGEPORT WV, 26330, US
Phone (681) 342-1000
Fax
Business Location
PO BOX 6209
WHEELING WV, 26003, US
Phone
Fax
Toxanomy
Taxonomy Code 367500000X
License State West Virginia
License Number 71206
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According to our database, Mr. Kristopher Richard Jangrow CRNA NPI is 1174710925, taxonomy code is 367500000X and license number is 71206, license state is located at West Virginia. Kristopher Richard Jangrow CRNA physically located at 327 Medical Park Drive, Bridgeport WV, 26330. NPI Number Kristopher Richard Jangrow CRNA has the Individual type.

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1174710925 NPI number is provided on an as is basis without warranty of any kind. 1174710925 is maintained by the National Plan & Provider Enumeration System. The contents of Kristopher Richard Jangrow CRNA are for informational purposes only.