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Organization
SIERRA NEVADA ANESTHESIA MEDICAL ASSOCIATES, INC.
Active
Organization
SIERRA NEVADA ANESTHESIA MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN RUSSELL WILBUR MD (PRESIDENT)
(530) 274-6000
Entity
Organization
Contact information
Practice address
155 GLASSON WAY, GRASS VALLEY, CA 95945-5723
(530) 247-6000
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(714) 347-1000
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
FNP 25717
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0088230
—
CA
Enumeration date
05/22/2006
Last updated
02/26/2008
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