Individual
CALEB CASEY TOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
42 BRYSON DR, WARD, AR 72176-9639
(501) 303-0725
Mailing address
42 BRYSON DR, WARD, AR 72176-9639
(501) 303-0725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
124698
AR
Other
Enumeration date
04/13/2020
Last updated
05/18/2020
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