Individual
CHRISTOPHER LIBERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
131 TUCKER ST, PROFESSIONAL ANESTHESIA ASSOCIATES, JACKSON, TN 38301-4055
(931) 388-6404
(931) 388-7119
Mailing address
131 TUCKER ST, PROFESSIONAL ANESTHESIA ASSOCIATES, JACKSON, TN 38301-4055
(931) 388-6404
(931) 388-7119
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
RN134743
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3633339
—
TN
Enumeration date
09/22/2005
Last updated
10/22/2007
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