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MR. GARY EDDIE VESELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
10541 W THUNDERBIRD BLVD, SUN CITY, AZ 85351-3006
(865) 777-0909
(865) 777-0910
Mailing address
12752 KINGSTON PIKE, STE E202, KNOXVILLE, TN 37934-0948
(865) 777-0909
(865) 777-0910

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
034999
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
1813
CA
367500000X
Certified Registered Nurse Anesthetist
CRNA0010
AZ
367500000X
Certified Registered Nurse Anesthetist
RN075834
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
144923
AZ
Enumeration date
10/12/2006
Last updated
09/13/2018
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