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RUSSELL WADE DAILY CRNA

>> Nurse Anesthetist, Certified Registered >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1316124985

Individual Registrant:
 RUSSELL WADE DAILY CRNA
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1300 S MONTGOMERY AVE  SHEFFIELD, AL 35660-6334 US
Tel: 256-386-4005  Fax: --

Contact information for business:
341 KINGSTON DR  FLORENCE, AL 35633-1728 US
Tel: 256-765-2271  Fax: --

Registration Information:
NPI: 1316124985
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
AL1-097495

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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