Fairlawn Surgery Center LLC

NPI #1174067912 in Roanoke, Virginia

Provider Information

NPI Number
1174067912
Entity Type
Organization
Organization Name
Fairlawn Surgery Center LLC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Dec 13, 2016
Last Updated
Dec 13, 2016

Practice Location

Address
2030 STEPHENSON AVE SW
ZIP Code
24014-1664
Phone
(540) 904-6170

Authorized Official

Name
DR. RYAN EVANS, MD
Title
PRESIDENT
Phone
(412) 418-6077

Specialties & Taxonomy Codes

Specialty
Anesthesiology
Nurse Anesthetist, Certified Registered

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