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
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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