Organization
PUGET SOUND ANESTHESIA SERVICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES A KROLL CRNA (MEMBER)
(206) 654-9025
Entity
Organization
Contact information
Practice address
1600 116TH AVE NE, BELLEVUE, WA 98004-3014
(425) 454-5133
Mailing address
2029 161ST AVE NE, SNOHOMISH, WA 98290-7771
(206) 654-9025
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30004363
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0063386
LABOR AND INDUSTRIES
WA
05
—
9605668
—
WA
01
—
KR4632
KCMBS
WA
Enumeration date
02/04/2008
Last updated
06/02/2008
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