Individual
MR. KEITH LEONARD MICHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
34800 BOB WILSON DR, NMCSD, ATTN: MEDICAL STAFF SERVICES, SAN DIEGO, CA 92134-1098
(619) 532-6460
(619) 532-6299
Mailing address
34800 BOB WILSON DR, NMCSD, ATTN: MEDICAL STAFF SERVICES, SAN DIEGO, CA 92134-1098
(619) 532-6460
(619) 532-6299
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
074376
CA
Other
Enumeration date
04/27/2006
Last updated
07/26/2007
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