WALTER P THERIOT

PINE BLUFF, AR
NPI1356346316
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AR  C00615)
Enumeration Date2005-06-16
Last Update Date2008-06-24
Business Address
-- WALTER P THERIOT CRNA
1801 W 40TH AVE STE 2B
PINE BLUFF, AR 71603-6957
Phone number: 870-535-7457
Mailing Address
-- WALTER P THERIOT CRNA
PO BOX 1272
PINE BLUFF, AR 71613-1272
Phone number: 870-535-7457
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