MATTHEW ALTON DOUGLAS

BIRMINGHAM, AL
NPI1730324476
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-107482)
Enumeration Date2008-12-10
Last Update Date2011-01-03
Business Address
-- MATTHEW ALTON DOUGLAS CRNA
810 SAINT VINCENTS DR
BIRMINGHAM, AL 35205-1601
Phone number: 205-939-7143
Mailing Address
-- MATTHEW ALTON DOUGLAS CRNA
255 W MICHIGAN AVE P. O. BOX 1123
JACKSON, MI 49201-2218
Phone number: 517-787-6440
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