Organization
RGAL ANESTHESIA SERVICES CRNAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE WHITEBLOOM D.O. (MANAGING PHYSICIAN)
(717) 544-3400
Entity
Organization
Contact information
Practice address
2104 HARRISBURG PIKE, SUITE 300, LANCASTER, PA 17601-2644
(717) 544-3400
(717) 544-3256
Mailing address
2104 HARRISBURG PIKE, SUITE 300, LANCASTER, PA 17601-2644
(717) 544-3400
(717) 544-3256
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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