Black River Anesthesia, Plc
NPI #1124174271 in Pocahontas, Arkansas
Provider Information
- NPI Number
- 1124174271
- Entity Type
- Organization
- Organization Name
- Black River Anesthesia, Plc
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Jan 25, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2801 MEDICAL CENTER DR
- City
- Pocahontas
- State
- Arkansas
- ZIP Code
- 72455-9436
- Phone
- (870) 972-8053
Authorized Official
- Name
- SUSAN LYNN WYATT, R.N.
- Title
- OFFICE MANAGER
- Phone
- (870) 972-8053
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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