Waldron Upham CRNA

NPI 1023135324 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1023135324
Gender Male
Enumeration Date 03/23/2007
Last Updated 12/07/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4100 LAKE OTIS PKWY
ANCHORAGE AK, 99508-5222, US
Phone (907) 550-6110
Fax
Business Location
PO BOX 29211
PHOENIX AZ, 85038-9211, US
Phone (602) 273-6770
Fax (602) 889-0489
Toxanomy
Taxonomy Code 367500000X
License State Alaska
License Number 260
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According to our database, Waldron Upham CRNA NPI is 1023135324, taxonomy code is 367500000X and license number is 260, license state is located at Alaska. Waldron Upham CRNA physically located at 4100 Lake Otis Pkwy, Anchorage AK, 99508-5222. NPI Number Waldron Upham CRNA has the Individual type.

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1023135324 NPI number is provided on an as is basis without warranty of any kind. 1023135324 is maintained by the National Plan & Provider Enumeration System. The contents of Waldron Upham CRNA are for informational purposes only.