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Individual

CONNOR MASON FAIRCHILD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, CRNA

Contact information

Practice address
619 19TH ST S, BIRMINGHAM, AL 35233-1900
(205) 934-3411
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-179872
AL
367500000X
Certified Registered Nurse Anesthetist
901854
MS

Other

Enumeration date
05/18/2022
Last updated
04/16/2026
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