JUSTIN SLADE BRIDWELL

ROGERS, AR
NPI1407814924
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AR  CO1557)
Enumeration Date2006-05-03
Last Update Date2007-12-06
Business Address
Mr. JUSTIN SLADE BRIDWELL CRNA
1200 W WALNUT ST
ROGERS, AR 72756-3546
Phone number: 479-636-0200
Mailing Address
Mr. JUSTIN SLADE BRIDWELL CRNA
PO BOX 507
LOWELL, AR 72745-0507
Phone number: 816-461-8288
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