Individual
ALLAN N PUDWILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R034923
SD
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000815
SD
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
Update your record
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