JEROMY EUGENE TEAGUE

MORRILTON, AR
NPI1275852378
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AR  CTP-000137)
Enumeration Date2010-05-28
Last Update Date2010-05-28
Business Address
-- JEROMY EUGENE TEAGUE CRNA
4 HOSPITAL DR
MORRILTON, AR 72110-4510
Phone number: 501-977-2300
Mailing Address
-- JEROMY EUGENE TEAGUE CRNA
1630 JASMINE LN
CONWAY, AR 72034-8446
Phone number: 501-908-5249