Individual
ROGER V CRUSE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 HOSPITAL DR, SPENCER, WV 25276-1050
(304) 927-6372
(304) 927-6390
Mailing address
200 HOSPITAL DR, SPENCER, WV 25276-1050
(304) 927-4444
(304) 927-6837
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
116450
WV
367500000X
Certified Registered Nurse Anesthetist
APRN.CRNA.08297
OH
Other
Enumeration date
06/15/2006
Last updated
01/23/2024
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