Individual
ROMAN J SUPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1995 TECHNOLOGY PKWY, MECHANICSBURG, PA 17050-8522
(717) 782-3282
(717) 231-8964
Mailing address
409 S 2ND ST, SUITE 2F, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN618294
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN618294
PA
Other
Enumeration date
03/27/2017
Last updated
12/19/2020
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