Organization
WARREN ANESTHESIA ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CRUZ CRNA (POINT OF CONTACT)
(423) 894-5466
Entity
Organization
Contact information
Practice address
1559 SPARTA RD, RIVER PARK HOSPITAL, MCMINNVILLE, TN 37110
(423) 855-0700
Mailing address
5751 UPTAIN RD STE 100, CHATTANOOGA, TN 37411-5671
(423) 424-3623
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3623327
—
TN
01
—
CN2475
RR MEDICARE
—
Enumeration date
10/24/2006
Last updated
10/30/2007
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