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Individual

MR. CALEB DANIEL RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
701 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1303
(205) 275-3650
Mailing address
1230 BIRD FARM RD, JASPER, AL 35503-5760
(205) 275-3650

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
128807
AL

Other

Enumeration date
03/16/2020
Last updated
03/16/2020
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