Organization
WHITMAN ANESTHESIA PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL B SULLIVAN CRNA (PRESIDENT)
(509) 926-1770
Entity
Organization
Contact information
Practice address
1200 W FAIRVIEW ST, COLFAX, WA 99111-9552
(509) 397-3435
Mailing address
21980 E COUNTRY VISTA DR, STE 200, LIBERTY LAKE, WA 99019-6025
(509) 926-1770
(509) 228-9542
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9633082
—
WA
Enumeration date
08/30/2006
Last updated
11/14/2016
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