Cloud Nine Anesthesia PA
NPI #1790910255 in Little Rock, Arkansas
Provider Information
- NPI Number
- 1790910255
- Entity Type
- Organization
- Organization Name
- Cloud Nine Anesthesia PA
- Primary Specialty
- Anesthesiology
- Enumeration Date
- May 27, 2009
- Last Updated
- May 27, 2009
Practice Location
- Address
- 9101 KANIS RD STE 300
- City
- Little Rock
- State
- Arkansas
- ZIP Code
- 72205-6453
- Phone
- (501) 771-4370
Authorized Official
- Name
- TRACY LYNN DAVENPORT, CRNA
- Title
- OWNER
- Phone
- (501) 442-1640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology |
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