Organization
INNOVATIVE ANESTHESIA CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK POBLETE MD (OWNER)
(909) 238-6276
Entity
Organization
Contact information
Practice address
8141 VISTA DR, LA MESA, CA 91941-6429
(909) 238-6276
Mailing address
PO BOX 34120, RENO, NV 89533-4120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/21/2018
Last updated
05/11/2021
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