Jack Lee Suddreth, CRNA
NPI #1083676274 in Petersburg, Virginia
Provider Information
- NPI Number
- 1083676274
- Entity Type
- Individual
- Name
- Jack Lee Suddreth, CRNA
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Apr 4, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 801 S ADAMS ST
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23808-2938
- Phone
- (804) 862-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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