Tyler Blocker CRNA

NPI 1205269305 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1205269305
Gender Male
Enumeration Date 08/13/2013
Last Updated 08/13/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
1068 CRESTHAVEN RD
SUITE 150
MEMPHIS TN, 38119-0800, US
Phone (901) 682-2872
Fax
Business Location
1068 CRESTHAVEN RD
SUITE 150
MEMPHIS TN, 38119-0800, US
Phone
Fax
Toxanomy
Taxonomy Code 367500000X
License State Mississippi
License Number R879792
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According to our database, Mr. Tyler Blocker CRNA NPI is 1205269305, taxonomy code is 367500000X and license number is R879792, license state is located at Mississippi. Tyler Blocker CRNA physically located at 1068 Cresthaven Rd, Memphis TN, 38119-0800. NPI Number Tyler Blocker CRNA has the Individual type.

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1205269305 NPI number is provided on an as is basis without warranty of any kind. 1205269305 is maintained by the National Plan & Provider Enumeration System. The contents of Tyler Blocker CRNA are for informational purposes only.