Mike Mondloch, Crna, Inc
Organization Active NPI Certified Registered Nurse Anesthetist · Missoula, MT
NPI 1295768448 · NPPES record last updated Sep 19, 2013
Key facts
- NPI
- 1295768448
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- Legal business name
- MIKE MONDLOCH, CRNA, INC
- Practice address
- 700 W Kent Ave
Missoula, MT 59801-6772 - Phone
- (406) 728-3501
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Edward Michael Mondloch, CRNA
- Title
- President
- Phone
- (503) 372-2740
Practitioners 1
-
Mark E Vandolah, CRNA
National Provider Directory
Locations
700 W Kent Ave
#C
Missoula, MT 59801
Phone (406) 728-3501
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist |
367500000X | Yes |
Addresses
Primary practice location
700 W Kent Ave
Missoula, MT 59801-6772
Mailing address
PO Box 24251
Seattle, WA 98124-0251
Phone (503) 372-2740
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD4998 | Other | RAILROAD MEDICARE |
Other providers in Missoula, MT
- Melissa Sena Miculka
- Shelby Kay Midboe
- Marie Middleton
- Karen Betts Mielke
- Mike Duchschere, Aprn, PLLC
- Cindy Nadine Mikes
- Logan Michael Mikkelson
- Wendy E. Miklos
- Lisa J Milch
- Paisley L. Miles
All providers in Missoula, MT · Certified Registered Nurse Anesthetist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.