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Individual

JANICE L PFOTENHAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2401 ST ANDREWS WAY, PHENIX CITY, PHENIX CITY, AL 36867-7413
(334) 448-8179
Mailing address
4401 RIVERCHASE DR., PHENIX CITY, PHENIX CITY, AL 36867-7413

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-116825
AL
367500000X
Certified Registered Nurse Anesthetist
551327
TX
367500000X
Certified Registered Nurse Anesthetist
RN196515
GA
367500000X
Certified Registered Nurse Anesthetist
RN27929
MT

Other

Enumeration date
09/21/2006
Last updated
07/08/2007
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