Individual
MYRA ANN HOLLIS AULTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1720 UNIVERSITY BLVD, BIRMINGHAM, AL 35233-1816
(205) 325-8500
(205) 325-8809
Mailing address
PO BOX 660685, BIRMINGHAM, AL 35266-0685
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
046077
AL
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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