Pottsville Anesthesia Associates LLC

NPI #1104284561 in Pottsville, Pennsylvania

Provider Information

NPI Number
1104284561
Entity Type
Organization
Organization Name
Pottsville Anesthesia Associates LLC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Feb 1, 2016
Last Updated
Aug 9, 2016

Practice Location

Address
48 TUNNEL RD
Address 2
SUITE 103
ZIP Code
17901-3875
Phone
(570) 622-6520

Authorized Official

Name
PHILLIP CLENDENIN
Title
PRESIDENT
Phone
(615) 665-1283

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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