Individual
WILLIAM RENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
FORT DEFIANCE INDIAN HOSPITAL, CORNER OR RT N12 & N7, FORT DEFIANCE, AZ 86504
(928) 729-8741
Mailing address
PO BOX 693, BISBEE, AZ 85603-0693
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN113844
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41-209-00153
RN/CRNA LICENSE
IL
Enumeration date
11/03/2006
Last updated
07/08/2007
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