Organization
SOCIALITE ANESTHESIA SERVICES, LLC
Active
Organization
SOCIALITE ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCIS IAN C BICOL DNP, CRNA, APRN (CEO)
(575) 363-8178
Entity
Organization
Contact information
Practice address
500 N KENTUCKY AVE, ROSWELL, NM 88201-4721
(575) 363-8178
Mailing address
500 N KENTUCKY AVE, ROSWELL, NM 88201-4721
(575) 363-8178
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA-01448
NM
Other
Enumeration date
02/22/2017
Last updated
01/24/2023
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