Whalio Doctors

NPI 1295005478

Daniel Ben Goza, CRNA

Practitioner Certified Registered Nurse Anesthetist Brookhaven, MS

Practice location

Address
427 Highway 51 N, Brookhaven, MS 39601-2350
Phone
(601) 833-6011
Mailing address
805 Clubhouse Dr, Pearl, MS 39208-7023

Registered specialties

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence R875195 (MS)

Registry record

NPI
1295005478
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Jan 2012
Record last updated
5 Jan 2012

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.