Individual
MR. ZACHARY DYLAN PUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-1000
Mailing address
2302 WILLOW BEACH RD APT C5, GUNTERSVILLE, AL 35976-2236
(256) 603-1708
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
125110
AL
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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