Bureau Valley Anesthesia Group, Inc.

NPI #1023186517 in Princeton, Illinois

Provider Information

NPI Number: 1023186517
Entity Type: Organization
Organization Name: Bureau Valley Anesthesia Group, Inc.
Primary Specialty: Anesthesiology
Enumeration Date: Dec 1, 2006
Last Updated: Jun 24, 2014

Practice Location

Address: 130 N MAIN ST
City: Princeton
State: Illinois
ZIP Code: 61356-1785
Phone: (815) 875-6001

Authorized Official

Name: DR. DEOFIL L ORTEZA, MD
Title: OWNER
Phone: (815) 875-6001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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