Individual
BENJAMIN MEZICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6801 AIRPORT BLVD, MOBILE, AL 36608-3709
(251) 422-0444
Mailing address
6801 AIRPORT BLVD, MOBILE, AL 36608-3709
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-128239
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
108974
AL
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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