Organization
DUANE SMITH ANESTHESIA LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUANE A SMITH CRNA (PRESIDENT)
(785) 537-2645
Entity
Organization
Contact information
Practice address
1823 COLLEGE AVE, MANHATTAN, KS 66502-3381
(785) 341-2155
Mailing address
1228 WESTLOOP PL # 195, MANHATTAN, KS 66502-2840
(785) 537-2645
(785) 587-8539
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
43-55110-082
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100447480B
—
KS
Enumeration date
03/19/2012
Last updated
03/19/2012
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