Grand Mesa Anesthesia Assoc, Inc

NPI 1083801815 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1083801815
Enumeration Date 09/25/2007
Last Updated 10/09/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JERALD MARTIN JERALD
Position OWNER
Phone (970) 874-7681
Fax (970) 874-2227
Practice Location
1501 E 3RD STREET
DELTA COUNTY MEMORIAL HOSPITAL
DELTA CO, 81416-2815, US
Phone (970) 874-7681
Fax (970) 874-2227
Business Location
PO BOX 791
DELTA CO, 81416, US
Phone (970) 856-6519
Fax (970) 856-6546
Toxanomy
Taxonomy Code 367500000X
License State Colorado
License Number 75028
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According to our database, Grand Mesa Anesthesia Assoc, Inc NPI is 1083801815, taxonomy code is 367500000X and license number is 75028, license state is located at Colorado. Grand Mesa Anesthesia Assoc, Inc physically located at 1501 E 3rd Street, Delta CO, 81416-2815. NPI Number 1033115704 has the healthcare provider type.

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1083801815 NPI number is provided on an as is basis without warranty of any kind. 1083801815 is maintained by the National Plan & Provider Enumeration System. The contents of Grand Mesa Anesthesia Assoc, Inc are for informational purposes only.