Organization
OASIS ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PATRICK OWENS CRNA (PRESIDENT)
(979) 393-9940
Entity
Organization
Contact information
Practice address
405 S 3RD ST, IRONTON, OH 45638-1730
(888) 209-0305
(952) 442-3620
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(888) 209-0305
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0146817
—
OH
05
—
7100381850
—
KY
Enumeration date
02/26/2015
Last updated
08/12/2019
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