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Organization

SHRAUCHLE

Active
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Organization

SHRAUCHLE

Active
Other names
SHRauchle, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SANDY LEIGH HAMMON-RAUCHLE (CRNA)
(417) 861-2053
Entity
Organization

Contact information

Practice address
3733 N BUSINESS DR # 3721, FAYETTEVILLE, AR 72703-5203
(479) 443-5476
Mailing address
1671 FOXBORO CT, BENTONVILLE, AR 72713-9369
(417) 861-2053

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1396249629
NPI
AR
Enumeration date
01/18/2023
Last updated
01/18/2023
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