Phillip Conwell JR., CRNA
NPI #1255540340 in Fort Bragg, California
Provider Information
- NPI Number
- 1255540340
- Entity Type
- Individual
- Name
- Phillip Conwell JR., CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Credential
- CRNA
- Enumeration Date
- May 22, 2007
- Last Updated
- Mar 18, 2024
Practice Location
- Address
- 700 RIVER DR
- City
- Fort Bragg
- State
- California
- ZIP Code
- 95437-5403
- Phone
- (707) 961-1234
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Anesthetist, Certified Registered |
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