Individual
ALEC WISCOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6965 CUMBERLAND GAP PARKWAY, HARROGATE, TN 37752
(423) 869-3611
Mailing address
412 W FOUNDERS BLVD, SARATOGA SPGS, UT 84045
(423) 307-2037
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11078999-3102
UT
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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