Organization
ASSOCIATED ANESTHESIA PROVIDERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER JACQUELIN CRNA (PRESIDENT)
(952) 442-9770
Entity
Organization
Contact information
Practice address
125 BUENA VISTA CIR, SOUTH HILL, VA 23970-1431
(804) 447-6033
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3630
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5906027
—
NC
05
—
8000155
—
NC
Enumeration date
11/17/2005
Last updated
10/31/2008
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