Jefferson Regional Anesthesia LLC
NPI #1205301587 in Pine Bluff, Arkansas
Provider Information
- NPI Number
- 1205301587
- Entity Type
- Organization
- Organization Name
- Jefferson Regional Anesthesia LLC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Oct 12, 2018
- Last Updated
- Oct 12, 2018
Practice Location
- Address
- 1600 W 40TH AVE
- City
- Pine Bluff
- State
- Arkansas
- ZIP Code
- 71603-6301
- Phone
- (870) 541-7370
Authorized Official
- Name
- MR. BRYAN G JACKSON
- Title
- CFO
- Phone
- (870) 541-7370
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology |
| Nurse Anesthetist, Certified Registered |
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