Organization
GRAND MESA ANESTHESIA ASSOC, INC
Active
Organization
GRAND MESA ANESTHESIA ASSOC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERALD MARTIN YOUNG CRNA (OWNER)
(970) 856-6519
Entity
Organization
Contact information
Practice address
1501 E 3RD STREET, DELTA COUNTY MEMORIAL HOSPITAL, DELTA, CO 81416-2815
(970) 874-7681
(970) 874-2227
Mailing address
PO BOX 791, DELTA, CO 81416
(970) 856-6519
(970) 856-6546
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
75028
CO
Other
Enumeration date
09/25/2007
Last updated
10/09/2008
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