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Individual

MR. WILLIAM F REID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R792327
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00116958
MS
01
331003463
TAX ID#
MS
01
430078861
RAILROAD MEDICARE
MS
01
640901082
TAX ID#
MS
Enumeration date
06/09/2006
Last updated
07/08/2011
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