Prairie Anesthesia, Pllc

NPI #1508868514 in Columbus, Mississippi

Provider Information

NPI Number: 1508868514
Entity Type: Organization
Organization Name: Prairie Anesthesia, Pllc
Primary Specialty: Anesthesiology
Enumeration Date: Aug 10, 2005
Last Updated: Feb 12, 2020

Practice Location

Address: 2520 5TH ST N
City: Columbus
State: Mississippi
ZIP Code: 39705-2008
Phone: (662) 244-1000

Authorized Official

Name: BEEKMAN LEE YOUNGBLOOD, MD
Title: PARTNER
Phone: (334) 878-4560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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