Individual
MARK A GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5922
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5922
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
084174-23
NH
367500000X
Certified Registered Nurse Anesthetist
3978
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
RN356833L
PA
Other
Enumeration date
05/12/2006
Last updated
09/07/2023
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