Organization
DELOGE ANESTHESIA SERVICES INC A PROFESSIONAL NURSING CORPORATION
Active
Other names
DELOGE ANESTHESIA SERVICE INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON ALAN DELOGE DNAP, CRNA (NURSE ANESTHETIST)
(810) 691-0773
Entity
Organization
Contact information
Practice address
901 E ST, SAN RAFAEL, CA 94901-2850
(415) 775-1555
Mailing address
370 WILSON WAY, LARKSPUR, CA 94939-1939
(810) 691-0773
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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