Organization
PAX ANESTHESIA CRNA NURSING APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORY OTT CRNA (OWNER)
(775) 747-5050
Entity
Organization
Contact information
Practice address
2927 DE LA VINA ST, SANTA BARBARA, CA 93105-3362
(805) 770-3378
Mailing address
PO BOX 34120, RENO, NV 89533-4120
(775) 747-5050
(775) 747-5005
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
08/29/2023
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