Whalio Doctors

NPI 1053307330

Christopher Liberto, CRNA

Practitioner Anesthesiology Physician Jackson, TN

Practice location

Address
131 Tucker St Professional Anesthesia Associates, Jackson, TN 38301-4055
Phone
(931) 388-6404
Fax
(931) 388-7119

Registered specialties

Anesthesiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence RN134743 (TN)

Registry record

NPI
1053307330
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Sep 2005
Record last updated
22 Oct 2007

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.