Individual
MASON SPITZNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
303 NW 11TH ST, FAIRFIELD, IL 62837-1206
(618) 842-2611
Mailing address
303 NW 11TH ST, FAIRFIELD, IL 62837-1206
(618) 842-2611
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209029238
IL
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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