Individual
BRENNAN MOUNTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
376 LANDMARK CIR, SPARTA, TN 38583-6590
(423) 544-7338
Mailing address
376 LANDMARK CIR, SPARTA, TN 38583-6590
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
119101
TN
Other
Enumeration date
11/22/2019
Last updated
03/04/2021
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