Organization
PRIME ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY ALLEN PITTS CRNA (OWNER)
(501) 593-5223
Entity
Organization
Contact information
Practice address
3711 STILLMAN LOOP, BRYANT, AR 72022-9074
(501) 593-5223
Mailing address
3711 STILLMAN LOOP, BRYANT, AR 72022-9074
(501) 593-5223
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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