Organization
MOUNTAIN ANESTHESIA CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ADOLF WILD CRNA (CEO MOUNTAIN ANESTHESIA CARE INC)
(909) 336-3651
Entity
Organization
Contact information
Practice address
29101 HOSPITAL RD, LAKE ARROWHEAD, CA 92352
(909) 336-3651
Mailing address
PO BOX 1810, LAKE ARROWHEAD, CA 92352
(316) 281-3700
(316) 282-4322
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/07/2006
Last updated
05/26/2011
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