Dr LEON V CHAGOLLA II is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2014.
NORTHERN ANESTHESIA PROVIDERS LLC
725 S SHOOP AVE
WAUSEON
OH
435671702
Tel: 4193352015
Npi | 1831587617 |
Pac Id | 9830414580 |
Professional Enrollment Id | I20150220001880 |
Last Name | CHAGOLLA |
First Name | LEON |
Middle Name | V |
Suffix | II |
Gender | M |
Credential | |
Medical School Name | OTHER |
Graduation Year | 2014 |
Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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Organization Legal Name | NORTHERN ANESTHESIA PROVIDERS LLC |
Group Practice Pac Id | 2567682073 |
Number Of Group Practice Members | 6 |
Line 1 Street Address | 725 S SHOOP AVE |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | WAUSEON |
State | OH |
Zip Code | 435671702 |
Phone Number | 4193352015 |
Hospital Affiliation Ccn 1 | 361333 |
Hospital Affiliation Lbn 1 | FULTON COUNTY HEALTH CENTER |
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Professional Accepts Medicare Assignment | Y |
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