Individual
CHRISTOPHER MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 MEDICAL CENTER DRIVE, SLIDELL, LA 70461
(985) 646-5082
(985) 649-8838
Mailing address
100 MEDICAL CENTER DRIVE, SLIDELL, LA 70461
(985) 646-5082
(985) 234-0628
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP06369
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01253010
—
MS
05
—
2145959
—
LA
Enumeration date
04/19/2011
Last updated
12/11/2012
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