Organization
ADVANCED ANESTHESIA CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE C SMITH CRNA (PARTNER - AUTHORIZED OFFICAL)
(801) 698-4825
Entity
Organization
Contact information
Practice address
320 ALPENGLOW LN, LIVINGSTON, MT 59047-8506
(406) 222-3541
Mailing address
6003 23RD DR W STE 100, EVERETT, WA 98203-1583
(425) 407-1000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
07/19/2023
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