| Dr Torijaun D'aundre Dallas, MD | |
|
3100 Tongass Ave, Ketchikan, AK 99901-5746 | |
| (907) 228-8300 | |
| Not Available |
| Full Name | Dr Torijaun D'aundre Dallas |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 17 Years |
| Location | 3100 Tongass Ave, Ketchikan, Alaska |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669614079 | NPI | - | NPPES |
| A154019 | Other | CA | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | P8768 (Texas) | Secondary |
| 207L00000X | Anesthesiology | A154019 (California) | Secondary |
| 207L00000X | Anesthesiology | 145347 (Alaska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alaska Regional Hospital | Anchorage, AK | Hospital |
| Dameron Hospital | Stockton, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Regional Anesthesia Associates Inc | 3870964323 | 152 |
| Denali Anesthesia Llc | 2567455678 | 28 |
| Entity Name | Regents Of The Univ Of Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Entity Name | Anesthesia Services Of San Joaquin Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366778227 PECOS PAC ID: 4082754056 Enrollment ID: O20091223000174 |
| Entity Name | Cep America - Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790401438 PECOS PAC ID: 3678897915 Enrollment ID: O20150115001110 |
| Entity Name | Valley Regional Anesthesia Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578272415 PECOS PAC ID: 3870964323 Enrollment ID: O20230120001928 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Torijaun D'aundre Dallas, MD 2350 W El Camino Real Fl 2, Mountain View, CA 94040-6203 Ph: (925) 779-7274 | Dr Torijaun D'aundre Dallas, MD 3100 Tongass Ave, Ketchikan, AK 99901-5746 Ph: (907) 228-8300 |
Dr. Kevin Michael Maguire, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-8300 Fax: 907-228-8332 | |
Geoffrey B Taylor, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-8300 Fax: 907-228-8332 |