MR. Philip Lee Hardison, Jr., CRNA

NPI #1871606392 in Roseburg, Oregon

Provider Information

NPI Number
1871606392
Entity Type
Individual
Name
MR. Philip Lee Hardison, Jr., CRNA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Aug 17, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
913 NW GARDEN VALLEY BLVD
State
Oregon
ZIP Code
97470-6523
Phone
(541) 440-1000

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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