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Individual

DR. THOMAS GUY FEVURLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
5955 ZEAMER AVE, 673D MDG / SGCS / SGCJ, JBER, AK 99506-3702
(907) 580-1815
(907) 580-5524
Mailing address
66 ALPINE AVE, JBER, AK 99505-1021
(937) 789-7488

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
118337
AK
367500000X
Certified Registered Nurse Anesthetist
RN 313609 / NA-07927
OH

Other

Enumeration date
09/26/2005
Last updated
02/08/2017
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