Physicians Anesthesia Group Staffing, LLC
NPI #1558102772 in Jackson, Mississippi
Provider Information
- NPI Number
- 1558102772
- Entity Type
- Organization
- Organization Name
- Physicians Anesthesia Group Staffing, LLC
- Primary Specialty
- Anesthesiology
- Enumeration Date
- Jun 3, 2024
- Last Updated
- Jul 25, 2024
Practice Location
- Address
- 1190 N STATE ST STE 102
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39202-2413
- Phone
- (601) 968-1790
Authorized Official
- Name
- JOHN HONTZAS, MD
- Title
- AUTHORIZED OFFICIAL
- Phone
- (800) 232-5703
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
| Anesthesiology |
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