Individual
MR. BILLY DON SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A. , M.S.N.
Contact information
Practice address
1601 NEWCASTLE ROAD, FORREST CITY, AR 72335-2218
(870) 261-0000
(870) 261-0405
Mailing address
PO BOX 771522, MEMPHIS, TN 38177-1522
(479) 200-4933
(901) 261-2542
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C01199
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141503701
—
AR
01
—
5U555
BLUE CROSS AR PROVIDER #
AR
Enumeration date
05/05/2006
Last updated
09/09/2010
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