Organization
MOUNTAIN ANESTHESIA CARE INC
Active
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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