Individual
MR. OMAR PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1060 GAFFNEY RD, FORT WAINWRIGHT, AK 99703, FT WAINWRIGHT, AK 99703
(907) 361-5658
Mailing address
1270 SUMMIT DRIVE, FAIRBANKS, AK 99712
(787) 674-6332
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9218623
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN9218623
FL
Other
Enumeration date
06/20/2009
Last updated
05/20/2015
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