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1720309511
DERRICK R EDDY
SPRINGDALE, AR
NPI
1720309511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AR C002970)
Enumeration Date
2010-06-16
Last Update Date
2021-06-18
Business Address
Mr. DERRICK R EDDY CRNA
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762-0845
Phone number: 479-725-6800
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Mailing Address
Mr. DERRICK R EDDY CRNA
PO BOX 507
LOWELL, AR 72745-0507
Phone number: 913-647-4100
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