Organization
VAM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS J VESCOVO JR. C.R.N.A. (PRESIDENT)
(901) 351-0889
Entity
Organization
Contact information
Practice address
2564 BARTLETT BLVD, BARTLETT, TN 38134-5408
(901) 351-0889
(901) 377-1026
Mailing address
2564 BARTLETT BLVD, BARTLETT, TN 38134-5408
(901) 351-0889
(901) 377-1026
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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