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Individual
STEVEN D. SAMPLE JR.
Active
Individual
STEVEN D. SAMPLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
220350
GA
367500000X
Certified Registered Nurse Anesthetist
ARNP9387609
FL
Other
Enumeration date
03/14/2017
Last updated
02/24/2024
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