Individual
TREY S BURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
126 HOSPITAL AVE, OZARK, AL 36360-2018
(334) 793-8087
(334) 793-8191
Mailing address
126 HOSPITAL AVE, OZARK, AL 36360-2018
(334) 793-8087
(334) 793-8191
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-084876
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009940555
—
AL
Enumeration date
04/27/2006
Last updated
07/15/2022
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