Organization
PRIORITY ANESTHESIA STAFFING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES T HISCOCK CRNA (MANAGER)
(810) 423-1082
Entity
Organization
Contact information
Practice address
12355 IVY LN, FENTON, MI 48430
(810) 423-1082
Mailing address
12355 IVY LN, FENTON, MI 48430
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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