Organization
NCA ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS W MARX MD (OWNER)
(870) 508-2100
Entity
Organization
Contact information
Practice address
160 HIGHWAY 201 N, MOUNTAIN HOME, AR 72653-3158
(870) 508-2100
(952) 442-3620
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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