Individual
MR. WILLIAM BRANTLEY FRITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1054631
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05153086
BLUE CROSS
AL
05
—
051552476
—
AL
Enumeration date
05/17/2006
Last updated
01/16/2012
Update your record
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