Organization
HANFORD ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GLOSSBRENNER MD (PRESIDENT)
(559) 585-5276
Entity
Organization
Contact information
Practice address
450 GREENFIELD AVE, HANFORD, CA 93230-3513
(559) 585-5276
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE9129
RR MEDICARE
CA
05
—
GR0101450
—
CA
01
—
ZZZ65670Z
BLUE SHIELD OF CA
CA
Enumeration date
07/22/2006
Last updated
09/17/2008
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