Individual
MR. RICKY JOE WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1007 GOODYEAR AVE, GADSDEN, AL 35903-1195
(256) 494-4000
Mailing address
3875 DOGWOOD DR, HOKES BLUFF, AL 35903-7460
(256) 492-2521
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1039272
AL
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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