Individual
BARRY SPREEN
Active
Individual
BARRY SPREEN
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
049809
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0266163
—
IA
01
—
19G74BA
BLUE CROSS OF MINNESOTA
MN
01
—
26616
BLUE CROSS BLUE SHIELD
IA
01
—
31547
BLUE CROSS OF IOWA
IA
01
—
430019359
RAILROAD MEDICARE
IA
01
—
8501
MIDLANDS CHOICE
IA
Enumeration date
06/15/2005
Last updated
04/25/2008
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