Individual
MR. JOHN ALTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
13207 RAVENNA RD, GEAUGA HOSPITAL, CHARDON, OH 44024-7032
(440) 285-6000
Mailing address
PO BOX 567, CHAGRIN FALLS, OH 44022-0567
(216) 464-5160
(216) 464-5982
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
166275
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0762018
—
OH
Enumeration date
08/26/2005
Last updated
02/24/2017
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