Individual
MR. RAFAL BOGUSLAW BANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
NAVAL MEDICAL CTR, 34800 BOB WILSON DR, SAN DIEGO, CA 92134-0001
(619) 532-8943
Mailing address
NAVAL MEDICAL CTR, 34800 BOB WILSON DR, SAN DIEGO, CA 92134-0001
(619) 532-8943
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041313599
IL
163W00000X
Registered Nurse
733392
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
209.011204
IL
367500000X
Certified Registered Nurse Anesthetist
3896
CA
367500000X
Certified Registered Nurse Anesthetist
6444-33
WI
Other
Enumeration date
01/26/2010
Last updated
03/21/2025
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