Individual
BENJAMIN JEFFREY SPILLYARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
34617 HEINZE CV, PARON, AR 72122-8042
(501) 687-7913
Mailing address
34617 HEINZE CV, PARON, AR 72122-8042
(501) 687-7913
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C003271
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124486
NBCRNA
AR
Enumeration date
03/01/2019
Last updated
10/09/2024
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