ROBERT J IDACAVAGE

REIDSVILLE, NC
NPI1811044530
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  39472)
Enumeration Date2007-01-04
Last Update Date2007-07-08
Business Address
-- ROBERT J IDACAVAGE CRNA
618 S MAIN ST
REIDSVILLE, NC 27320-5020
Phone number: 336-951-4000
Mailing Address
-- ROBERT J IDACAVAGE CRNA
PO BOX 26580
GREENSBORO, NC 27415-6580
Phone number: 336-832-7786
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