Organization
ANESTHESIA IAG SERVICES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAYLE LEE ULSHAFER CRNA (CEO)
(760) 241-2179
Entity
Organization
Contact information
Practice address
13332 CABANA WAY, VICTORVILLE, CA 92392-6364
(760) 241-2179
(760) 241-1950
Mailing address
13332 CABANA WAY, VICTORVILLE, CA 92392-6364
(760) 241-2179
(760) 241-1950
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
CRNA 604
CA
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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