Principle Anesthesia Pllc

NPI #1063128049 in Morton, Illinois

Provider Information

NPI Number
1063128049
Entity Type
Organization
Organization Name
Principle Anesthesia Pllc
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Jan 24, 2023
Last Updated
Jan 26, 2023

Practice Location

Address
430 MAXINE DR
City
Morton
ZIP Code
61550-2495
Phone
(309) 495-4520

Authorized Official

Name
MR. MICHAEL KEEDY, CRNA
Title
OWNER
Phone
(309) 267-5510

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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