Intrepid Lane Anesthesia Group Pllc

NPI #1093704363 in Syracuse, New York

Provider Information

NPI Number
1093704363
Entity Type
Organization
Organization Name
Intrepid Lane Anesthesia Group Pllc
Primary Specialty
Anesthesiology
Enumeration Date
Oct 19, 2005
Last Updated
Aug 9, 2007

Practice Location

Address
190 INTREPID LN
ZIP Code
13205-2545
Phone
(315) 498-6200

Authorized Official

Name
DAVID CAMPANILE, MD
Title
PRESIDENT
Phone
(315) 498-6200

Specialties & Taxonomy Codes

Specialty
Anesthesiology

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