Organization
JADA ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA CROOKS (OFFICE MANAGER)
(574) 268-9640
Entity
Organization
Contact information
Practice address
3509 BRIARFIELD BLVD, MAUMEE, OH 43537-9383
(419) 865-3866
(574) 268-0684
Mailing address
PO BOX 1296, WARSAW, IN 46581-1296
(574) 268-9640
(574) 268-0684
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN438627
OH
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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