Individual
CHARLES W EUBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2301 S 56TH ST, STE 110, FORT SMITH, AR 72903-3755
(479) 452-1581
(479) 452-2148
Mailing address
PO BOX 11880, FORT SMITH, AR 72917-1880
(479) 452-1581
(479) 452-2148
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R32900
AR
Other
Enumeration date
07/04/2006
Last updated
08/20/2010
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