Individual
PHILLIP J RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2310 CALIFORNIA ROAD, SUITE A, ELKHART, IN 46514-1228
(574) 264-0791
(574) 262-9650
Mailing address
2310 CALIFORNIA ROAD, SUITE A, ELKHART, IN 46514-1228
(574) 264-0791
(574) 262-9650
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28147199A
IN
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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