MARTY DALE WALLACE

JOHNSON CITY, TN
NPI1164674743
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  APN13700)
Enumeration Date2008-10-15
Last Update Date2009-11-20
Business Address
MARTY DALE WALLACE CRNA
1114 SUNSET DR SUITE 4
JOHNSON CITY, TN 37604-2969
Phone number: 423-283-0776
Mailing Address
MARTY DALE WALLACE CRNA
PO BOX 3727
JOHNSON CITY, TN 37602-3727
Phone number: 423-283-0776
Similar providers in Johnson City, TN
MARIANNE ORGANT
PATRICIA B CATHELYN
JASON LAWRENCE GREULICH
SAMUEL V DAVENPORT
SHARON M SHAW
JERRY MORGAN BULLARD
LISA W GREEN
ERNEST ANTHONY ESTEP
MARGARET RACHEL WESTON
SCOTT E HUBBARD