Organization
ASPEN ANESTHESIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM LEE TAYLOR CRNA (PRESIDENT)
(509) 737-0378
Entity
Organization
Contact information
Practice address
8514 W 6TH AVE, KENNEWICK, WA 99336-9440
(509) 737-0378
Mailing address
8514 W 6TH AVE, KENNEWICK, WA 99336-9440
(509) 737-0378
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
200860027CRNA
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649579798
—
WA
Enumeration date
03/15/2011
Last updated
06/22/2011
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