Performance Anesthesia INC

NPI #1700135720 in Moulton, Alabama

Provider Information

NPI Number
1700135720
Entity Type
Organization
Organization Name
Performance Anesthesia INC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Sep 5, 2012
Last Updated
Sep 5, 2012

Practice Location

Address
202 HOSPITAL ST
State
Alabama
ZIP Code
35650-1218
Phone
(256) 974-2200

Authorized Official

Name
RANDALL J WILSON
Title
OWNER
Phone
(205) 979-5882

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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