NPI 1023013000
Gary W Manly, CRNA
Practice location
- Address
- 1801 W 40th Ave STE 2b, Pine Bluff, AR 71603-6957
- Phone
- (870) 535-7457
- Fax
- (870) 535-2522
- Mailing address
- PO Box 1272, Pine Bluff, AR 71613-1272
Registered specialties
Certified Registered Nurse Anesthetist
Primary
Registry record
- NPI
- 1023013000
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 16 Jun 2005
- Record last updated
- 24 Jun 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.