Organization
CARDINAL ANESTHESIA, LLC
Active
Organization
CARDINAL ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONI AIZIGOV CRNA (PRESIDENT AND CEO)
(718) 208-0446
Entity
Organization
Contact information
Practice address
51050 BITTERSWEET RD, GRANGER, IN 46530-7879
(718) 208-0446
Mailing address
51050 BITTERSWEET RD, GRANGER, IN 46530-7879
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
06/30/2016
Last updated
10/04/2023
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