Individual
JOHN ADAM SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2451 FILLINGIM ST, ROOM 335, MOBILE, AL 36617-2238
(251) 471-7045
Mailing address
2451 FILLINGIM ST, ROOM 335, MOBILE, AL 36617-2238
(251) 471-7045
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-124941
AL
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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