Organization
MAKIT ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTA L COPENHAVER-MACKOWIAK CRNA (VICE PRESIDENT CRNA)
(304) 872-9066
Entity
Organization
Contact information
Practice address
101 OAKWOOD RD, CANVAS, WV 26662-0109
(304) 872-9066
(304) 872-9066
Mailing address
PO BOX 1012, PRINCETON, WV 24740-1012
(304) 647-4570
(304) 872-9066
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
WV
Other
Enumeration date
03/03/2008
Last updated
06/05/2008
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