William R Netterville JR. CRNA

NPI 1497026645 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1497026645
Gender Male
Enumeration Date 01/19/2012
Last Updated 01/19/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1501 KINGS HWY
SHREVEPORT LA, 71103-4228, US
Phone (318) 675-7109
Fax
Business Location
392 HALF MOON CT
BOSSIER CITY LA, 71111-5569, US
Phone (318) 347-5591
Fax (318) 222-0724
Toxanomy
Taxonomy Code 367500000X
License State Louisiana
License Number 113623
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According to our database, William R Netterville JR. CRNA NPI is 1497026645, taxonomy code is 367500000X and license number is 113623, license state is located at Louisiana. William R Netterville JR. CRNA physically located at 1501 Kings Hwy, Shreveport LA, 71103-4228. NPI Number William R Netterville JR. CRNA has the Individual type.

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1497026645 NPI number is provided on an as is basis without warranty of any kind. 1497026645 is maintained by the National Plan & Provider Enumeration System. The contents of William R Netterville JR. CRNA are for informational purposes only.