Organization
BAEC ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE W POLLEY JR. (DIRECTOR)
(615) 843-4102
Entity
Organization
Contact information
Practice address
20998 REDWOOD RD, CASTRO VALLEY, CA 94546-5918
(510) 538-9900
Mailing address
401 COMMERCE ST STE 600, NASHVILLE, TN 37219-2518
(615) 843-4102
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/11/2017
Last updated
09/16/2020
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