BRENDAN SANSOM

BIRMINGHAM, AL
NPI1245629997
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-127296)
Enumeration Date2015-01-19
Last Update Date2015-01-19
Business Address
MR. BRENDAN SANSOM CRNA
619 19TH ST S ROOM-JT845
BIRMINGHAM, AL 35249-1900
Phone number: 205-979-5882
Mailing Address
MR. BRENDAN SANSOM CRNA
PO BOX 11407 ATTN: DEPT 1717
BIRMINGHAM, AL 35246-0100
Phone number: 205-979-5882
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