Organization
ANESTHESIA MANAGEMENT SERVICES OF CALIFORNIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL THIBODEAUX (PRESIDENT)
(319) 331-0621
Entity
Organization
Contact information
Practice address
275 HOSPITAL DR, UKIAH, CA 95482-4531
(707) 463-3111
(707) 463-7339
Mailing address
PO BOX 34120, RENO, NV 89533-4120
(775) 747-5050
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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