Carlos H Machicao, CRNA
NPI #1730226457 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1730226457
- Entity Type
- Individual
- Name
- Carlos H Machicao, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Jan 31, 2007
- Last Updated
- Jun 4, 2010
Practice Location
- Address
- 605 N 12TH ST
- Address 2
- ANESTHESIOLOGY DEPARTMENT
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-2857
- Phone
- (618) 242-4600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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