Carl Robert Davis, CRNA
NPI #1992188338 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1992188338
- Entity Type
- Individual
- Name
- Carl Robert Davis, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Jul 2, 2015
- Last Updated
- Jul 2, 2015
Practice Location
- Address
- 2 GOOD SAMARITAN WAY
- Address 2
- SUITE 205
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-2408
- Phone
- (618) 241-1108
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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