Organization
CORE ANESTHESIA PROVIDER SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY BOYER (CREDENTIALING SPECIALIST)
(209) 956-7732
Entity
Organization
Contact information
Practice address
36 W YOKUTS AVE STE 3, STOCKTON, CA 95207-5713
(209) 952-1189
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7738
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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