STEPHEN BLAKELY EZZELL

DOTHAN, AL
NPI1164474623
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1083935)
Enumeration Date2006-05-16
Last Update Date2007-07-08
Business Address
-- STEPHEN BLAKELY EZZELL CRNA
4370 W MAIN ST
DOTHAN, AL 36305-1056
Phone number: 334-793-5000
Mailing Address
-- STEPHEN BLAKELY EZZELL CRNA
PO BOX 6907
DOTHAN, AL 36302
Phone number: 334-793-5000
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