TYLER BLAKE THACKER

BIRMINGHAM, AL
NPI1215618764
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-134728)
Enumeration Date2023-07-27
Last Update Date2023-07-27
Business Address
TYLER BLAKE THACKER CRNA
1802 6TH AVE S # NP7401-C
BIRMINGHAM, AL 35233-1932
Phone number: 205-975-3737
Mailing Address
TYLER BLAKE THACKER CRNA
269 G B SANDERS DR
ASHVILLE, AL 35953-3018
Phone number: 256-630-9778
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