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Individual

DR. RONALD SCOTT AWTRY III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA, APRN

Contact information

Practice address
117 E 19TH ST, ROSWELL, NM 88201-5151
(575) 627-7000
Mailing address
PO BOX 1194, ROSWELL, NM 88202-1194

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
3018250
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA-1507
NM

Other

Enumeration date
08/26/2017
Last updated
07/26/2024
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