Clifford Blaylock in Oxford - Nurse Anesthetist, Certified Registered
Clifford Blaylock - NPI 1043259146
Clifford Blaylock is a Nurse Anesthetist, Certified Registered in Oxford, Mississippi. Clifford Blaylock practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Clifford Blaylock is 1043259146. The last update date is 2007-11-30.
Clifford Blaylock's current location address is 208 Rachelle Dr, Oxford, Mississippi. You can contact this provider via phone number 6622818700. The mailing address for Clifford Blaylock is 208 Rachelle Dr, Oxford, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clifford Blaylock |
|---|---|
| Address | 208 Rachelle Dr, Oxford, Mississippi |
| Phone Number | 6622818700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1043259146 |
|---|---|
| Provider Enumeration Date | 2006-06-05 |
| Last Updated Date | 2007-11-30 |
Provider Mailing Address Detail
| Address | 208 Rachelle Dr |
|---|---|
| City | Oxford |
| State | Mississippi (MS) |
| Post Code | 386556135 |
| Phone Number | 6622818700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | R782755 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 119446 | MS | -- |
Post Comment/ Review Below
What is the Clifford Blaylock's 1043259146?
The Clifford Blaylock's NPI (National Provider Identifier) Number is 1043259146. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Clifford Blaylock's facilities are situated?
The facilities of Clifford Blaylock are physically located at the following address: 208 Rachelle Dr, Oxford, MS, 386556135.
What is Clifford Blaylock's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Clifford Blaylock's specialized field of practice is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this area of specialization is 367500000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1043259146 to Clifford Blaylock?
The Centers for Medicare & Medicaid Services assigned the 1043259146 to Clifford Blaylock on 2006-06-05.
As of what date were the details related to Clifford Blaylock most recently updated or revised?
The information pertaining to Clifford Blaylock, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-30.
NPI Number: 1730182858
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