Robinson J Omotola, CRNA | |
400 N Pleasant Ave, Centralia, IL 62801-3056 | |
(618) 436-5461 | |
Not Available |
Full Name | Robinson J Omotola |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 400 N Pleasant Ave, Centralia, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760593131 | NPI | - | NPPES |
G2971 | Other | FL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | ARNP2030632 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | (Illinois) | Primary |
Mailing Address | Practice Location Address |
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Robinson J Omotola, CRNA Po Box 917756, Orlando, FL 32891-7756 Ph: (352) 867-8898 | Robinson J Omotola, CRNA 400 N Pleasant Ave, Centralia, IL 62801-3056 Ph: (618) 436-5461 |
Kenneth N Jensen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 N Pleasant, Centralia, IL 62801 Phone: 618-436-5521 Fax: 618-436-8036 | |
Mr. James Douaedf Rueter, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 N Pleasant, Centralia, IL 62801 Phone: 618-436-5461 | |
Emily Ann Alli, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-6204 |