Organization
SOUTHWEST ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CURTISS A WALL CRNA (PRESIDENT)
(317) 509-9896
Entity
Organization
Contact information
Practice address
227 EAST MCCALLISTER DRIVE, TERRE HAUTE, IN 47802
(765) 832-7372
Mailing address
12831 N MCCRACKEN CREEK DR, MOORESVILLE, IN 46158-7020
(317) 509-9896
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28114266A
IN
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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