Independent Anesthesiologists Psc

NPI #1295716850 in Edgewood, Kentucky

Provider Information

NPI Number: 1295716850
Entity Type: Organization
Organization Name: Independent Anesthesiologists Psc
Primary Specialty: Anesthesiology
Enumeration Date: Nov 10, 2005
Last Updated: Apr 20, 2008

Practice Location

Address: 1 MEDICAL VILLAGE DR
City: Edgewood
State: Kentucky
ZIP Code: 41017-3403
Phone: (859) 341-7246

Authorized Official

Name: RICHARD ELDON PARK, MD
Title: PRESIDENT
Phone: (859) 341-7246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiology	207L00000X	Primary

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