Organization
ECIE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL C BLANTON (PRESIDENT, BOARD OF MANAGERS)
(615) 345-6900
Entity
Organization
Contact information
Practice address
40404 CALIFORNIA OAKS RD, MURRIETA, CA 92562-1945
(951) 304-0200
Mailing address
401 COMMERCE ST, SUITE 600, NASHVILLE, TN 37219-2446
(615) 345-6900
(615) 345-6905
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/28/2015
Last updated
11/03/2015
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