Terry Ray Brewer JR. CRNA

NPI 1043410632 - Registered Nurse - 163W00000X

NPI Details
NPI 1043410632
Gender Male
Enumeration Date 07/20/2007
Last Updated 07/20/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3024 STADIUM BLVD
JONESBORO AR, 72401-7415, US
Phone (501) 227-0700
Fax (501) 227-0744
Business Location
PO BOX 55990
LITTLE ROCK AR, 72215-5990, US
Phone (501) 227-0700
Fax (501) 227-0744
Toxanomy
Taxonomy Code 163W00000X
License State Arkansas
License Number R54097
Remove 1043410632 NPI Number
 

According to our database, Mr. Terry Ray Brewer JR. CRNA NPI is 1043410632, taxonomy code is 163W00000X and license number is R54097, license state is located at Arkansas. Terry Ray Brewer JR. CRNA physically located at 3024 Stadium Blvd, Jonesboro AR, 72401-7415. NPI Number Terry Ray Brewer JR. CRNA has the Individual type.

Sponsored links

1043410632 NPI number is provided on an as is basis without warranty of any kind. 1043410632 is maintained by the National Plan & Provider Enumeration System. The contents of Terry Ray Brewer JR. CRNA are for informational purposes only.