Organization
LAS CRUCES OB ANESTHESIA LLC
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
(573) 686-5550
Mailing address
209 S MAIN ST, POPLAR BLUFF, MO 63901-5831
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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