PEYTON CLARK THETFORD

BIRMINGHAM, AL
NPI1821880238
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-164187)
Enumeration Date2025-05-21
Last Update Date2025-06-09
Business Address
Mr. PEYTON CLARK THETFORD CRNA
1802 6TH AVE S
BIRMINGHAM, AL 35233-1932
Phone number: 205-934-3411
Mailing Address
Mr. PEYTON CLARK THETFORD CRNA
PO BOX 55310
BIRMINGHAM, AL 35255-5310
Phone number: 205-731-9701