Individual
MARC ALAN FRIEDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
CARILION PROFESSIONAL SERVICES, BELLEVIEW AVE AT JEFFERSON ST S.E., ROANOKE, VA 24014-1850
(540) 981-8310
Mailing address
604 AIRPORT RD, BLACKSBURG, VA 24060-5404
(540) 951-0259
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
516732
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010363624
—
VA
05
—
010363667
—
VA
05
—
010363683
—
VA
05
—
010363713
—
VA
05
—
010363748
—
VA
01
—
043194
CRNA
—
01
—
516732
REGISTERED NURSE LIC/TX
TX
Enumeration date
08/30/2006
Last updated
05/15/2008
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