Individual
MR. ELVIE J FREY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(800) 303-7639
Mailing address
3506 CLARINDA ST, SARASOTA, FL 34239-7419
(260) 463-6668
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28215585A
FL
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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