CHARLES VINCENT WOODSON

BLOOMINGTON, IN
NPI1497792659
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IN  28126400A)
Enumeration Date2006-05-31
Last Update Date2007-12-17
Business Address
-- CHARLES VINCENT WOODSON CRNA
2920 MCINTIRE DRIVE, SUITE 150 ATTN: MARIA MITCHELL
BLOOMINGTON, IN 47403
Phone number: 812-337-5003
Mailing Address
-- CHARLES VINCENT WOODSON CRNA
PO BOX 5635 ATTN: MARIA MITCHELL
BLOOMINGTON, IN 47407
Phone number: 812-337-5003