STUART C WALLACE

NASHVILLE, TN
NPI1790968048
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  13277)
Enumeration Date2007-12-10
Last Update Date2015-11-10
Business Address
Mr. STUART C WALLACE CRNA
1800B BEECH AVE
NASHVILLE, TN 37203-5416
Phone number: 731-803-9773
Mailing Address
Mr. STUART C WALLACE CRNA
1800B BEECH AVE
NASHVILLE, TN 37203-5416
Phone number: 731-803-9773
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