Individual
PATRICK THOMAS BLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-9402
Mailing address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-9402
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN58554
HI
367500000X
Certified Registered Nurse Anesthetist
Primary
282481
NC
Other
Enumeration date
01/18/2007
Last updated
03/17/2021
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