Individual
ERIC ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62702-5324
(217) 525-5643
Mailing address
800 E CARPENTER ST, SPRINGFIELD, IL 62702-5324
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2014013826
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
209011621
IL
Other
Enumeration date
06/26/2014
Last updated
12/28/2021
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