Organization
IMPACT ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE GARST CRNA (CEO)
(619) 788-4408
Entity
Organization
Contact information
Practice address
1660 SEATTLE SLEW WAY, OCEANSIDE, CA 92057-5621
(619) 788-4408
Mailing address
1660 SEATTLE SLEW WAY, OCEANSIDE, CA 92057-5621
(619) 788-4408
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/03/2016
Last updated
01/03/2016
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