Individual
JUSTIN THOMAS SMITH
Active
Individual
JUSTIN THOMAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CRNA, DNP
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
196328-5
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
R196328-5
MN
Other
Enumeration date
09/26/2013
Last updated
01/30/2024
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