Individual
PARRY DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
711 ONYX ST, KEMMERER, WY 83101-3214
(307) 877-4401
Mailing address
711 ONYX ST, KEMMERER, WY 83101-3214
(307) 877-4401
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
17449.0291
WY
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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