Individual
JEFFREY M DAXE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4102 PINION DR, 10 MDOS/SGOSA, U S A F ACADEMY, CO 80840-2502
(719) 333-5691
Mailing address
679 BURKE HOLLOW DR., MONUMENT, CO 80132
(719) 481-3159
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN-277423/NA-07861
OH
Other
Enumeration date
01/23/2006
Last updated
07/08/2007
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