Tierra Alta Anesthesia
NPI #1558361089 in Espanola, New Mexico
Provider Information
- NPI Number
- 1558361089
- Entity Type
- Organization
- Organization Name
- Tierra Alta Anesthesia
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Jul 27, 2005
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1010 SPRUCE ST
- City
- Espanola
- State
- New Mexico
- ZIP Code
- 87532-3456
- Phone
- (573) 686-5550
Authorized Official
- Name
- MR. PETER HOLTZ, CRNA
- Title
- PRESIDENT
- Phone
- (573) 686-5550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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