Individual
CHARLES B WHITBY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5700 E HIGHWAY 90, SIERRA VISTA, AZ 85635-9110
(520) 226-4338
(520) 335-8705
Mailing address
77 CALLE PORTAL STE B260A, SIERRA VISTA, AZ 85635-2998
(520) 226-4338
(520) 335-8705
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1361
AZ
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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