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Individual

MR. RACE SHELBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
5201 NORTHSHORE DR, NORTH LITTLE ROCK, AR 72118-5312
(501) 748-8000
Mailing address
3013 MARTINEAU PL, NORTH LITTLE ROCK, AR 72116-8546
(870) 489-1285

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
120379
AR

Other

Enumeration date
04/17/2019
Last updated
03/31/2021
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