Individual
BENJAMIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3879 MAGGIES PL, IRONDALE, AL 35210-5509
(205) 269-4024
Mailing address
3879 MAGGIES PL, IRONDALE, AL 35210-5509
(205) 269-4024
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-135255
AL
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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