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Search › California › 367500000X

Samuel Thibodeaux, CRNA

NPI 1578544516 · on the registry since 2005

Practice

Address
271 Observatory Ave
Ukiah, CA 95482
Phone
(707) 462-0681
Organisation at this address
Ukiah Surgery Center Lp
Observatory Surgery Center Llc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
367500000X
Licence states on file
IA, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-03-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California