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Individual

ROBERT STEVEN FLOWERDAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2467 WILLOW LOOP, FLORENCE, OR 97439-7714
(541) 902-3178
Mailing address
2467 WILLOW LOOP, FLORENCE, OR 97439-7714
(541) 902-3178

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
077038605RN
OR
163W00000X
Registered Nurse
1069979
KY
163W00000X
Registered Nurse
28143365A
IN
367500000X
Certified Registered Nurse Anesthetist
1683A
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
200360056CRNA
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200253960
IN
Enumeration date
09/06/2005
Last updated
12/06/2010
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