Organization
LOCAL ANESTHESIA INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL ERIC SMITH CRNA (PRESIDENT)
(509) 710-2545
Entity
Organization
Contact information
Practice address
123 W FRANCIS AVE, SPOKANE, WA 99205-6364
(509) 483-9363
Mailing address
1818 W FRANCIS AVE # 213, SPOKANE, WA 99205-6834
(509) 465-1638
(509) 465-8757
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30004424
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107659
LABOR AND INDUSTRIES
WA
01
—
430029997
RAIL ROAD MEDICARE
WA
05
—
9617333
—
WA
01
—
SM7243
ASURIS
WA
Enumeration date
01/22/2008
Last updated
12/02/2013
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