TERRY C BONVILLE

BIRMINGHAM, AL
NPI1194897439
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-035183)
Enumeration Date2006-11-14
Last Update Date2007-07-08
Business Address
Mr. TERRY C BONVILLE CRNA
1600 CARRAWAY BLVD
BIRMINGHAM, AL 35234-1913
Phone number: 205-502-6187
Mailing Address
Mr. TERRY C BONVILLE CRNA
PO BOX 830469 MSC 511
BIRMINGHAM, AL 35283-0469
Phone number: 205-979-5882
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