Individual
BRIAN CLAY POINDEXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9601 INTERSTATE 630 EXIT 7, LITTLE ROCK, AR 72205-7202
(501) 202-2093
Mailing address
9601 INTERSTATE 630 EXIT 7, LITTLE ROCK, AR 72205-7202
(501) 202-2093
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4704268999
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
C002806
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4308776580
BLUE CROSS
MI
01
—
430Z910820
BLUE CROSS
—
Enumeration date
11/28/2008
Last updated
05/19/2022
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