Organization
MARTIN ANESTHESIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT ANDREW MARTIN CRNA (PRESIDENT)
(316) 320-9177
Entity
Organization
Contact information
Practice address
200 COMMODORE ST, PRATT, KS 67124-2903
(620) 672-7451
Mailing address
PO BOX 388, NEWTON, KS 67114-0388
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
55455
KS
Other
Enumeration date
08/08/2007
Last updated
01/23/2012
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