Gary W Phelps Crna Inc

NPI 1093993990 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1093993990
Enumeration Date 02/04/2008
Last Updated 02/04/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GARY W GARY
Position PRESIDENT
Phone (301) 317-0020
Fax (301) 317-0028
Practice Location
1838 GREENTREE ROAD
#180
BALTO MD, 21208, US
Phone (301) 317-0020
Fax (301) 317-0028
Business Location
10508 CHESHAM WAY
WOODSTOCK MD, 21163-0000, US
Phone (301) 317-0020
Fax (301) 317-0028
Toxanomy
Taxonomy Code 367500000X
License State Maryland
License Number R130008
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According to our database, Gary W Phelps Crna Inc NPI is 1093993990, taxonomy code is 367500000X and license number is R130008, license state is located at Maryland. Gary W Phelps Crna Inc physically located at 1838 Greentree Road, Balto MD, 21208. NPI Number 1033115704 has the healthcare provider type.

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1093993990 NPI number is provided on an as is basis without warranty of any kind. 1093993990 is maintained by the National Plan & Provider Enumeration System. The contents of Gary W Phelps Crna Inc are for informational purposes only.