Individual
SAMUEL ZANE REDMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 S WALDRON RD STE 107, FORT SMITH, AR 72903
(479) 452-1581
Mailing address
6134 S 66TH ST APT 4, FORT SMITH, AR 72903-6675
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
121901
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
12419763-4406
UT
Other
Enumeration date
04/24/2018
Last updated
08/31/2021
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