NPI 1093119083
Mark Walz, CRNA
Practice location
- Address
- 1221 S Gear Ave, West Burlington, IA 52655-1679
- Phone
- (319) 768-1000
Registered specialties
Certified Registered Nurse Anesthetist
Primary
Registry record
- NPI
- 1093119083
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 20 Oct 2014
- Record last updated
- 20 Oct 2014
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.