TERRY RESIDE, CST, SA-C
Specialist/Technologist, Other - Surgical Assistant
Active
Individual
NPI: 1235468729
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist, Other - Surgical Assistant | 246ZC0007X | Yes | 238000219 (IL) |
Frequently Asked Questions
NPI 1235468729 is the National Provider Identifier for TERRY RESIDE, CST, SA-C, a Specialist/Technologist, Other - Surgical Assistant provider located in Normal, IL. This NPI was enumerated on December 14, 2009.
TERRY RESIDE, CST, SA-C practices at 1604 VISA DR, Normal, IL 61761.
Quick Facts
- NPI
- 1235468729
- Type
- Individual
- Enumerated
- Dec 14, 2009
- Last Updated
- Dec 14, 2009
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