Anesthesia Puget Sound Pllc
NPI #1053523886 in Lake Stevens, Washington
Provider Information
- NPI Number
- 1053523886
- Entity Type
- Organization
- Organization Name
- Anesthesia Puget Sound Pllc
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- May 4, 2007
- Last Updated
- May 6, 2008
Practice Location
- Address
- 1418 E LAKESHORE DRIVE
- City
- Lake Stevens
- State
- Washington
- ZIP Code
- 98258
- Phone
- (425) 345-1947
Authorized Official
- Name
- THOMAS STILLMAN ELSEMORE, CRNA
- Title
- PRESIDENT
- Phone
- (425) 345-1947
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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