Crawford Reed Wallace JR., CRNA
NPI #1598108896 in Carriere, Mississippi
Provider Information
- NPI Number
- 1598108896
- Entity Type
- Individual
- Name
- Crawford Reed Wallace JR., CRNA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Apr 17, 2013
- Last Updated
- Feb 22, 2016
Practice Location
- Address
- 32 CLEAR SKY DR
- City
- Carriere
- State
- Mississippi
- ZIP Code
- 39426-7818
- Phone
- (601) 337-0700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Anesthetist, Certified Registered |
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