Robert Wallace, CRNA

CRNA (Nurse Anesthetist) · Jackson, TN

Primary taxonomy

367500000X

Enumerated

2007-02-19

Practice location

Jackson, TN

Last NPPES update

2011-11-04

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.