ERIC E SISAM

PARKER, AZ
NPI1518251503
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ  CRNA1126)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: NM  CRNA-01404)
Enumeration Date2011-06-07
Last Update Date2018-10-11
Business Address
ERIC E SISAM APRN, CRNA
1200 W MOHAVE RD
PARKER, AZ 85344-6349
Phone number: 928-669-9201
Mailing Address
ERIC E SISAM APRN, CRNA
3696 CHESAPEAKE BLVD
LAKE HAVASU CITY, AZ 86406-4350
Phone number: 203-450-7247
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