Deloge Anesthesia Services INC A Professional Nursing Corporation
Nurse Anesthetist, Certified Registered in San Rafael, CA. Organization (NPI-2).
NPI number1861917841
StatusActive
Last updated in NPPESAug 10, 2017
Details
- NPI
- 1861917841
- Entity type
- Organization (NPI-2)
- Legal business name
- Deloge Anesthesia Services INC A Professional Nursing Corporation
- Organization subpart
- No
- Enumeration date
- Aug 10, 2017
- Last updated
- Aug 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | – | – | Yes |
Other names
- Deloge Anesthesia Service INC (Doing Business As)
Practice location
901 E StSan Rafael, CA 94901-2850
Phone 415-775-1555
Mailing address
370 Wilson WayLarkspur, CA 94939-1939
Phone 810-691-0773
Authorized official
Jon Alan Deloge
Nurse Anesthetist
8106910773
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