Roger White CRNA

NPI 1649211467 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1649211467
Gender Male
Enumeration Date 06/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
971 LAKELAND DR
SUITE 202
JACKSON MS, 39216-4643, US
Phone (601) 362-1990
Fax (601) 362-1988
Business Location
971 LAKELAND DR
SUITE 202
JACKSON MS, 39216-4643, US
Phone (601) 362-1990
Fax (601) 362-1988
Toxanomy
Taxonomy Code 367500000X
License State Mississippi
License Number R562041
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According to our database, Roger White CRNA NPI is 1649211467, taxonomy code is 367500000X and license number is R562041, license state is located at Mississippi. Roger White CRNA physically located at 971 Lakeland Dr, Jackson MS, 39216-4643. NPI Number Roger White CRNA has the Individual type.

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1649211467 NPI number is provided on an as is basis without warranty of any kind. 1649211467 is maintained by the National Plan & Provider Enumeration System. The contents of Roger White CRNA are for informational purposes only.