Individual
STEVEN C FONTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
220 DUNWOODY DR, JONESBORO, AR 72404-8886
(870) 972-0957
Mailing address
220 DUNWOODY DR, JONESBORO, AR 72404-8886
(870) 972-0957
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CO1417
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1039039
—
LA
Enumeration date
07/17/2006
Last updated
03/11/2009
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