Prodigy Office Anesthesia, LLC
NPI #1639950140 in Corbin, Kentucky
Provider Information
- NPI Number
- 1639950140
- Entity Type
- Organization
- Organization Name
- Prodigy Office Anesthesia, LLC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Oct 10, 2023
- Last Updated
- Oct 10, 2023
Practice Location
Authorized Official
- Name
- BENJAMIN T. SMALL, CRNA
- Title
- ORGANIZER
- Phone
- (304) 741-4957
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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