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MR. Phillip Tyler Stanley, C.R.N.A.

NPI #1104362177 in Dothan, Alabama

Provider Information

NPI Number
1104362177
Entity Type
Individual
Name
MR. Phillip Tyler Stanley, C.R.N.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
C.R.N.A.
Enumeration Date
Jan 13, 2017
Last Updated
Jan 13, 2017

Practice Location

Address
1118 ROSS CLARK CIR
City
Dothan
State
Alabama
ZIP Code
36301-3001
Phone
(334) 793-8111

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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