Organization
BKT ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN K TANNER CRNA (CRNA)
(228) 990-4830
Entity
Organization
Contact information
Practice address
44 MARKET PLZ, 304, MONTGOMERY, AL 36104-3943
(228) 990-4830
Mailing address
44 MARKET PLZ, 304, MONTGOMERY, AL 36104-3943
(228) 990-4830
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-115992
AL
Other
Enumeration date
08/20/2016
Last updated
11/20/2016
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