JUSTIN DAVID SMALLRIDGE

BRIDGEPORT, WV
NPI1417904848
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WV  58541)
Enumeration Date2006-05-30
Last Update Date2018-03-17
Business Address
JUSTIN DAVID SMALLRIDGE CRNA
327 MEDICAL PARK DR
BRIDGEPORT, WV 26330-9006
Phone number: 681-342-1000
Mailing Address
JUSTIN DAVID SMALLRIDGE CRNA
327 MEDICAL PARK DR
BRIDGEPORT, WV 26330-9006
Phone number: 681-342-1000
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