STACY L BURG

OLNEY, IL
NPI1992903835
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209005594)
Enumeration Date2007-07-03
Last Update Date2010-08-24
Business Address
Ms. STACY L BURG CRNA
800 E LOCUST ST
OLNEY, IL 62450-2553
Phone number: 618-395-7340
Mailing Address
Ms. STACY L BURG CRNA
800 E LOCUST ST
OLNEY, IL 62450-2553
Phone number: 618-395-7340