Organization
HT ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY A MILLER CRNA (GEN PTR)
(573) 686-5550
Entity
Organization
Contact information
Practice address
100 MEDICAL CENTER DR, PADUCAH, KY 42003-7909
(270) 442-1024
Mailing address
209 S MAIN ST, POPLAR BLUFF, MO 63901-5831
(573) 686-5550
(573) 626-2139
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/02/2007
Last updated
11/02/2007
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