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JONATHAN WALLACE, CRNA
CRNA
Anesthesiology Physician
NPI: 1609821156IndividualAccepts Medicare
Specialties, Licenses & Credentials
Certified Registered Nurse Anesthetist
Nurse Anesthetist, Certified Registered
Code: 367500000X
1101813(AL)
Anesthesiology PhysicianPrimary
Anesthesiology
Code: 207L00000X
1101813(AL)
CMS Specialties
PrimaryCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Education
OTHER
Class of 2005
Contact & Hours
- Address
- 5 MOBILE INFIRMARY CIR
MOBILE, AL 36607 - Phone
- (251) 432-4497
Quick Facts
- NPI
- 1609821156
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 21
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