Individual
JOHN RICHARD MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
151 MCGOWAN CT, HOT SPRINGS, AR 71913-6451
(501) 623-4101
Mailing address
11901 PLEASANT RIDGE RD, LITTLE ROCK, AR 72223-2399
(774) 402-0057
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C002983
AR
Other
Enumeration date
01/16/2007
Last updated
03/27/2014
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