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Organization

CRNA ANESTHESIA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JERALD YOUNG CRNA (PRESIDENT)
(573) 686-5550
Entity
Organization

Contact information

Practice address
1501 E 3RD ST, DELTA, CO 81416-2815
(970) 874-7681
Mailing address
209 S MAIN ST, POPLAR BLUFF, MO 63901-5831

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
02/12/2013
Last updated
02/12/2013
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