Organization
SILVER ANESTHESIA SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD RUDD CRNA (PRESIDENT)
(505) 388-1376
Entity
Organization
Contact information
Practice address
1313 E 32ND ST, SILVER CITY, NM 88061-7251
(505) 538-4000
Mailing address
1405 N FLORIDA ST, SILVER CITY, NM 88061-4225
(505) 388-1376
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51607
—
NM
01
—
NM006126
BCBS - GROUP
NM
01
—
P8596
RAILROAD MEDICARE GROUP
NM
Enumeration date
09/14/2005
Last updated
07/21/2022
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