MR. Justin Slade Bridwell, CRNA

NPI #1407814924 in Rogers, Arkansas

Provider Information

NPI Number
1407814924
Entity Type
Individual
Name
MR. Justin Slade Bridwell, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
May 3, 2006
Last Updated
Dec 6, 2007

Practice Location

Address
1200 W WALNUT ST
City
Rogers
ZIP Code
72756-3546
Phone
(479) 636-0200

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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