Individual
MR. PAUL ALLEN DARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 W LINCOLN ST, BELLEVILLE, IL 62220-1902
(618) 222-0111
Mailing address
7461 LESLIE DR, EDWARDSVILLE, IL 62025-7735
(618) 692-0186
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
IL
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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