CLOUD NINE ANESTHESIA PA
Anesthesiologist Assistant at Kanis Rd, Little Rock, AR

License number
Arkansas C02646
Category
Osteopathic Medicine
Type
Anesthesiology
Owner
Name: TRACY LYNN DAVENPORT CRNA
Title: OWNER
Phone: (501) 442-1640
Address
Address 2
9101 Kanis Rd STE 300, Little Rock, AR 72205
191 Plantation Dr, Lollie, AR 72106
National Provider ID: 1790910255
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CLOUD NINE ANESTHESIA PA at bizstanding.com

CLOUD NINE ANESTHESIA, PA

191 Plantation Dr, Lollie, AR 72106

Registration:
May 14, 2009
State ID:
800156159
Business type:
For Profit Corporation
P.A.s:
Tracy Davenport (Incorporator/Organizer),Cloud Nine Anesthesia (P.A.)
Filled under act:
Dom Prof Corp; 155 of 1963

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