Individual
ZACHARY CHARLES SODERBLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2430 EMERALD PL STE 201, GREENVILLE, NC 27834-5743
(252) 752-2140
Mailing address
2430 EMERALD PL STE 201, GREENVILLE, NC 27834-5743
(252) 752-2140
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
301736
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
7171
NC
Other
Enumeration date
07/20/2022
Last updated
05/25/2023
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