NPI 1053307330
Christopher Liberto, CRNA
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
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.