Richard Anthony Wallace, CRNA
NPI #1629031992 in Harriman, Tennessee
Provider Information
- NPI Number
- 1629031992
- Entity Type
- Individual
- Name
- Richard Anthony Wallace, CRNA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Apr 8, 2006
- Last Updated
- Sep 25, 2013
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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Organizations
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|---|---|
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