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Individual

STEPHEN R SPIRES

Active
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Individual

STEPHEN R SPIRES

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
RN099590-AP04371
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1177440
LA
01
1861444101
BCBS OF LA
LA
01
P01032689
RR MEDICARE
LA
Enumeration date
05/16/2006
Last updated
09/10/2013
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