RUSSELL T BEAVERS

LITTLE ROCK, AR
NPI1700881778
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AR  C00338)
Enumeration Date2005-06-16
Last Update Date2016-04-29
Business Address
-- RUSSELL T BEAVERS CRNA
24 GLASGOW CT
LITTLE ROCK, AR 72211-2170
Phone number: 870-489-1592
Mailing Address
-- RUSSELL T BEAVERS CRNA
24 GLASGOW CT
LITTLE ROCK, AR 72211-2170
Phone number: 870-489-1592
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