Jacksonville Anesthesia LLC

NPI #1205165065 in Jacksonville, Alabama

Provider Information

NPI Number
1205165065
Entity Type
Organization
Organization Name
Jacksonville Anesthesia LLC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Dec 8, 2009
Last Updated
Dec 8, 2009

Practice Location

Address
1701 PELHAM RD S
State
Alabama
ZIP Code
36265-3369
Phone
(256) 435-4970

Authorized Official

Name
ROB CLEMENS, MD PHD
Title
CEO
Phone
(660) 826-5960

Specialties & Taxonomy Codes

Specialty
Anesthesiology
Nurse Anesthetist, Certified Registered

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