Organization
SUPERIOR ANESTHESIA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL S BLUMREICH CRNA (OWNER)
(501) 227-0700
Entity
Organization
Contact information
Practice address
4921 INVERNESS RUN DR, JONESBORO, AR 72401-8061
(870) 275-6037
Mailing address
PO BOX 55990, LITTLE ROCK, AR 72215-5990
(501) 227-0700
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C02705
AR
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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