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Individual

MR. STEPHEN LANCE GREER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
202866
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
082152
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8053567
NC
Enumeration date
02/10/2009
Last updated
05/23/2016
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