Robert Durst

NPI 1689619736 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1689619736
Gender Male
Enumeration Date 06/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1 MEDICAL PARK BLVD
BRISTOL TN, 37620-7430, US
Phone (423) 844-1121
Fax
Business Location
350 BLOUNTVILLE HWY
STE 207
BRISTOL TN, 37620-0213, US
Phone (423) 968-4540
Fax
Toxanomy
Taxonomy Code 367500000X
License State Tennessee
License Number 130611
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According to our database, Robert Durst NPI is 1689619736, taxonomy code is 367500000X and license number is 130611, license state is located at Tennessee. Robert Durst physically located at 1 Medical Park Blvd, Bristol TN, 37620-7430. NPI Number Robert Durst has the Individual type.

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1689619736 NPI number is provided on an as is basis without warranty of any kind. 1689619736 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Durst are for informational purposes only.