Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK E VANDOLAH, CRNA
Active Sole ProprietorMARK E VANDOLAH, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in THREE FORKS, Montana. NPI 1891769600 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · THREE FORKS, MT
Registration Details
- NPI Number
- 1891769600
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 16, 2006 (20.466061228354 yrs)
- Last Updated
- Mar 11, 2008
- License
-
RN14372 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7 VANDOLAH ROADTHREE FORKS, MT, 597521330Browse MT providers · Browse ZIP 59752
- Phone
- 4062856588
- Fax
- 4062859012
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.