Organization
WARREN H MACLEOD C R N A PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DULANEY ANESTHESIA ASSOCIATES CRNA (PRESIDENT)
(410) 583-1000
Entity
Organization
Contact information
Practice address
901 DULANEY VALLEY RD, SUITE 220, TOWSON, MD 21204-2600
(410) 583-1000
Mailing address
901 DULANEY VALLEY RD, SUITE 220, TOWSON, MD 21204-2600
(410) 583-1000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R051112
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213-52-9270
TRICARE BILLING #
MD
01
—
235741
KAISER BILLING #
MD
01
—
417274-02
BC/BS OF MD BILLING #
MD
01
—
430022172
MEDICARE RR BILLING #
MD
05
—
536421300
—
MD
01
—
G9270001
BS FEDERAL BILLING #
MH
Enumeration date
10/19/2006
Last updated
08/26/2008
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