Most Relevant Information
Provider Data
| NPI Number: | 1003249186 |
| Provider Name: | DOUGLAS MCDONALD CHILDS CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 209010588 |
Most Important Dates
| Enumeration Date: | 08/13/2013 |
| Last Updated: | 12/29/2021 |
Provider Practice Location
800 E CARPENTER ST
SPRINGFIELD
IL
627045324
Practice Location Phone/Fax
| Phone: | 2175255643 |
| Fax: | 2175442521 |
Provider Mailing Location
800 E CARPENTER ST
SPRINGFIELD
IL
627025324
Provider Mailing Phone/Fax
| Phone: | 2177913684 |
| Fax: |