Organization
HIGHLAND ANESTHESIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN B FARRIS CRNA (OWNER / PRESIDENT)
(719) 362-7848
Entity
Organization
Contact information
Practice address
577 AIRPORT RD, MEDFORD, OR 97504-4159
(541) 608-2590
(952) 442-3620
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
12/14/2021
Last updated
09/14/2023
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