Organization
CUERO ANESTHESIA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY ALLAN GOOSBY C.R.N.A. (NURSE ANESTHETIST)
(715) 688-9465
Entity
Organization
Contact information
Practice address
1390 E YOSEMITE AVE, MERCED, CA 95340-8221
(209) 580-3400
Mailing address
1041 E WOODLAND AVE, BARRON, WI 54812-1763
(715) 688-9465
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1720
CA
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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