Organization
ORGAN MOUNTAIN ANESTHESIA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCO YAPHET CRNA (PRESIDENT)
(573) 686-5550
Entity
Organization
Contact information
Practice address
4311 E LOHMAN AVE, LAS CRUCES, NM 88011-8255
(505) 556-7600
Mailing address
209 S MAIN ST, POPLAR BLUFF, MO 63901-5831
(573) 686-5550
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R40661
NM
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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