Individual
JASON WALTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 MOBILE INFIRMARY CIR, MOBILE, AL 36607-3513
(251) 435-2400
Mailing address
PO BOX 11407, DEPT 1499, BIRMINGHAM, AL 35246-1499
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-129814
AL
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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