CARL ROBERT DAVIS

MOUNT VERNON, IL
NPI1992188338
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209012907)
Enumeration Date2015-07-02
Last Update Date2015-07-02
Business Address
-- CARL ROBERT DAVIS CRNA
2 GOOD SAMARITAN WAY SUITE 205
MOUNT VERNON, IL 62864-2408
Phone number: 618-241-1108
Mailing Address
-- CARL ROBERT DAVIS CRNA
4227 LINCOLNSHIRE DR
MOUNT VERNON, IL 62864-2157
Phone number: 618-241-1108
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