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Organization

ALLIED ANESTHESIA ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON C BRYANT CRNA (CO-OWNER)
(330) 280-2972
Entity
Organization

Contact information

Practice address
518 WEST AVE, TALLMADGE, OH 44278-2117
(330) 630-9699
Mailing address
PO BOX 72344, CLEVELAND, OH 44192-0002
(517) 787-6440

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA-09694
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2820684
OH
05
2893892
OH
05
2952658
OH
05
3018568
OH
Enumeration date
04/15/2014
Last updated
12/20/2019
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