Individual
MR. THOMAS DALE SPIERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
216 14TH AVE SW, SIDNEY, MT 59270-3519
(406) 488-2100
(406) 488-2261
Mailing address
PO BOX 6210, FARMINGTON, NM 87499-6210
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
159730
MT
367500000X
Certified Registered Nurse Anesthetist
RN0000116650
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051401
—
NC
05
—
AN0762
—
SC
Enumeration date
08/12/2006
Last updated
06/18/2020
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