Individual
WALTER H STUART IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6005 PARK AVE, SUITE 406, MEMPHIS, TN 38119-5202
(901) 682-6828
(901) 682-9316
Mailing address
6005 PARK AVE, SUITE 406, MEMPHIS, TN 38119-5202
(901) 682-6828
(901) 682-9316
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
122581
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
14478
TN
367500000X
Certified Registered Nurse Anesthetist
810575
MS
Other
Enumeration date
07/28/2009
Last updated
11/30/2023
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