Most Relevant Information
Provider Data
| NPI Number: | 1003359092 |
| Provider Name: | CHARLES B WHITBY CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | CRNA1361 |
Most Important Dates
| Enumeration Date: | 11/23/2016 |
| Last Updated: | 11/23/2016 |
Provider Practice Location
5700 E HIGHWAY 90
SIERRA VISTA
AZ
856359110
Practice Location Phone/Fax
| Phone: | 5202264338 |
| Fax: | 5203358705 |
Provider Mailing Location
77 CALLE PORTAL STE B260A
SIERRA VISTA
AZ
856352998
Provider Mailing Phone/Fax
| Phone: | 5202264338 |
| Fax: | 5203358705 |