Individual
MR. JOHN BLAKE MCCRELESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1007 GOODYEAR AVE, GADSDEN, AL 35903-1195
(256) 494-4000
Mailing address
1104 GOODYEAR AVE APT 210, GADSDEN, AL 35903-2059
(256) 494-1514
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-087231
AL
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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