James Ryan Wallace, CRNA

NPI #1003368259 in Knoxville, Tennessee

Provider Information

NPI Number
1003368259
Entity Type
Individual
Name
James Ryan Wallace, CRNA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Nov 3, 2016
Last Updated
Jan 15, 2023

Practice Location

Address
1901 CLINCH AVE
ZIP Code
37916-2307
Phone
(865) 342-9098

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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