Individual
MR. MARC ANTON LEWIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5005 N PIEDRAS ST, WBAMC ATTN: CREDENTIALS OFFICE, EL PASO, TX 79920-5001
(915) 569-1233
Mailing address
5005 N PIEDRAS ST, WBAMC ATTN: CREDENTIALS OFFICE, EL PASO, TX 79920-5001
(915) 569-1233
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN045413
AZ
Other
Enumeration date
03/08/2006
Last updated
07/08/2007
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