Individual
KEITH ALAN SARBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2951 MAPLE AVE., ZANESVILLE, OH 43701
(513) 672-3309
(513) 672-3323
Mailing address
945 BETHESDA DR., SUITE 200B, ZANESVILLE, OH 43701
(740) 455-4937
(740) 455-4931
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
123786
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.00495-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0690186
—
OH
01
—
430046112
RAILROAD MEDICARE
—
Enumeration date
12/14/2005
Last updated
04/05/2010
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