Individual
MR. ANDREW GAZENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6119 MIDTOWN AVE, SUITE 201, LITTLE ROCK, AR 72205-5313
(501) 664-4532
(501) 663-4335
Mailing address
6119 MIDTOWN AVE, SUITE 201, LITTLE ROCK, AR 72205-5313
(501) 664-4532
(501) 663-4335
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R099697
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
C003131
AR
Other
Enumeration date
01/04/2016
Last updated
02/18/2016
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