Eddie Smith, CRNA
Nurse Anesthetist, Certified Registered in Ozark, AR. Individual provider (NPI-1).
NPI number1881741635
StatusActive
Last updated in NPPESMar 19, 2010
Details
- NPI
- 1881741635
- Entity type
- Individual (NPI-1)
- Name
- Mr. Eddie Smith
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2007
- Last updated
- Mar 19, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | C00512 | AR | Yes |
Practice location
1114 Ferry RdOzark, AR 72949-2591
Phone 918-649-5426
Mailing address
607 Holson AvePoteau, OK 74953-4925
Phone 918-649-5426
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