Gary W Manly, CRNA
NPI #1023013000 in Pine Bluff, Arkansas
Provider Information
- NPI Number
- 1023013000
- Entity Type
- Individual
- Name
- Gary W Manly, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Jun 16, 2005
- Last Updated
- Jun 24, 2008
Practice Location
- Address
- 1801 W 40TH AVE
- Address 2
- STE 2B
- City
- Pine Bluff
- State
- Arkansas
- ZIP Code
- 71603-6957
- Phone
- (870) 535-7457
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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