Forty Fort Anesthesia Associates LLC
NPI #1346600038 in Forty Fort, Pennsylvania
Provider Information
- NPI Number
- 1346600038
- Entity Type
- Organization
- Organization Name
- Forty Fort Anesthesia Associates LLC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Feb 24, 2016
- Last Updated
- Aug 9, 2016
Practice Location
- Address
- 190 WELLES ST
- City
- Forty Fort
- State
- Pennsylvania
- ZIP Code
- 18704-4968
- Phone
- (570) 331-7615
Authorized Official
- Name
- PHILLIP CLENDENIN
- Title
- PRESIDENT
- Phone
- (615) 665-1283
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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