Organization
KRAUTH ANESTHESIA SERVICES LLC
Active
Organization
KRAUTH ANESTHESIA SERVICES LLC
Active
Parent organization
KRAUTH ANESTHESIA SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KRAUTH ANESTHESIA SERVICES, LLC
Authorized official
MR. DOUGLAS DUANE KRAUTH CRNA (OWNER)
(712) 730-0127
Entity
Organization
Contact information
Practice address
1 COLONIAL CIRCLE, STORM LAKE, IA 50588
(712) 730-0127
Mailing address
1 COLONIAL CIRCLE, STORM LAKE, IA 50588
(712) 730-0127
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2265736
—
IA
01
—
38543
BC/BS
IA
Enumeration date
11/12/2015
Last updated
11/12/2015
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