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Organization
UKIAH VALLEY ANESTHESIA SERVICES
Active
Organization
UKIAH VALLEY ANESTHESIA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
E CHRISTOPHER OUTLUND MD (PRESIDENT/OWNER)
(360) 672-1401
Entity
Organization
Contact information
Practice address
509 KENNWOOD DR, UKIAH, CA 95482-8769
(360) 672-1401
Mailing address
509 KENNWOOD DR, UKIAH, CA 95482-8769
(360) 672-1401
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C54671
CA
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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