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Individual

MR. DAVID FROST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
9258 WANDERING WAY, OOLTEWAH, TN 37363-6972
(423) 667-9859
Mailing address
9258 WANDERING WAY, OOLTEWAH, TN 37363-6972
(423) 667-9859

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN0000010855
TN
367500000X
Certified Registered Nurse Anesthetist
RN158635 CRNA
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3638240
TN
01
4142858
BCBS
TN
Enumeration date
07/10/2006
Last updated
07/13/2010
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