Southeast Anesthesia, Plc

NPI #1578163770 in Bowling Green, Kentucky

Provider Information

NPI Number
1578163770
Entity Type
Organization
Organization Name
Southeast Anesthesia, Plc
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Oct 27, 2020
Last Updated
Oct 27, 2020

Practice Location

Address
201 PARK ST
ZIP Code
42101-1742
Phone
(270) 781-5111

Authorized Official

Name
EDWARD MATTHEW DEMAREE, CRNA
Title
OWNER
Phone
(615) 865-5561

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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