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Individual

JOSEPH ALEXANDER DAMRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2740 COLLEGE AVE, CONWAY, AR 72034-6141
(501) 329-5459
Mailing address
1185 S LAKE ST, SALT LAKE CITY, UT 84105-1258
(501) 680-7497

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R096488
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
24600
SC

Other

Enumeration date
06/22/2015
Last updated
01/22/2021
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