Individual
LEVI CHASE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 MEDICAL CENTER DR, SPRINGFIELD, OH 45504-2687
(937) 523-1000
Mailing address
12975 BROADGAUGE RD, SOUTH VIENNA, OH 45369-8709
(937) 631-5676
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
019494
OH
Other
Enumeration date
05/18/2017
Last updated
05/18/2017
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