Individual
AUSTIN W SMITH
Active
Individual
AUSTIN W SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
10014902
OR
390200000X
Student in an Organized Health Care Education/Training Program
201705526RN
OR
Other
Enumeration date
07/02/2020
Last updated
01/09/2024
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