Individual
MR. BLAKE AUSTIN MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
810 SAINT VINCENTS DR, BIRMINGHAM, AL 35205-1601
(205) 939-7143
(205) 930-2505
Mailing address
1919 OXMOOR RD # 111, BIRMINGHAM, AL 35209-3502
(205) 939-7143
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-132641
AL
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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