Mark Richard Baller, CRNA Valid NPI

Individual provider · Certified Registered Nurse Anesthetist · Lone Tree, CO

NPI

1083671986

Type

Individual (Type 1)

Primary specialty

Certified Registered Nurse Anesthetist (Nurse Anesthetist, Certified Registered)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

367500000X

License number

175201 (CO)

Sex

Male

Sole proprietor

No

Enumerated

2006-04-26

Last updated

2007-10-04