Organization
METROPOLITAN ANESTHESIA ALLIANCE, CRNA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY L ROENBLUM (HUMAN RESOURCE ASSOCIATE)
(901) 818-2162
Entity
Organization
Contact information
Practice address
1900 EXETER RD, SUITE 210, GERMANTOWN, TN 38138-2954
(901) 818-2162
(901) 818-2163
Mailing address
1900 EXETER RD, SUITE 210, GERMANTOWN, TN 38138-2954
(901) 818-2162
(901) 818-2163
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3625251
—
TN
Enumeration date
07/05/2007
Last updated
05/22/2008
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