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MARTY WALLACE, CRNA

CRNA

Certified Registered Nurse Anesthetist

NPI: 1164674743IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse Anesthetist, Certified Registered

Code: 367500000X

APN13700(TN)

CMS Specialties

PrimaryCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)

Education

OTHER

Class of 2008

Contact & Hours

Address
1114 SUNSET DR, SUITE 4
JOHNSON CITY, TN 37604

Quick Facts

NPI
1164674743
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
18

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