Eaa Co LLC
NPI #1972361285 in Castle Rock, Colorado
Provider Information
- NPI Number
- 1972361285
- Entity Type
- Organization
- Organization Name
- Eaa Co LLC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Mar 11, 2024
- Last Updated
- Mar 11, 2024
Practice Location
- Address
- 734 WILCOX ST STE 200
- City
- Castle Rock
- State
- Colorado
- ZIP Code
- 80104-1709
- Phone
- (303) 257-8237
Authorized Official
- Name
- MICHAEL BERGESON, CRNA
- Title
- OWNER
- Phone
- (804) 335-7421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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