Organization
ECGJ ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD L STEVENS (PRESIDENT BOARD OF MANAGERS)
(615) 345-6868
Entity
Organization
Contact information
Practice address
1035 WELLINGTON AVE, GRAND JUNCTION, CO 81501-8122
(615) 346-5879
(615) 346-5879
Mailing address
401 COMMERCE ST, STE 600, NASHVILLE, TN 37219-2446
(615) 843-4102
(615) 691-7214
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/06/2012
Last updated
06/29/2017
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