Organization
MOBILE ANESTHESIA & SEDATION CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER MARTIN CRNA (PRESIDENT)
(301) 317-0020
Entity
Organization
Contact information
Practice address
18528 CRESTMOUNT RD, BOYDS, MD 20841-4359
(301) 317-0020
(301) 317-0028
Mailing address
18528 CRESTMOUNT RD, BOYDS, MD 20841-4359
(301) 317-0020
(301) 317-0028
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R148205
MD
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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