LEON V CHAGOLLA II

NORTHERN ANESTHESIA PROVIDERS LLC

Dr LEON V CHAGOLLA II is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2014.

Contact

NORTHERN ANESTHESIA PROVIDERS LLC

725 S SHOOP AVE
WAUSEON
OH
435671702

Tel: 4193352015

LEON V CHAGOLLA II Information

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)
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
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
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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