John Wall

NPI #1316044324 in Olney, Illinois

Provider Information

NPI Number
1316044324
Entity Type
Individual
Name
John Wall
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Sep 20, 2006
Last Updated
Feb 1, 2008

Practice Location

Address
800 E LOCUST ST
City
Olney
ZIP Code
62450-2553
Phone
(618) 395-7340

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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