Ecsc III LLC

NPI #1720242894 in Shaker Heights, Ohio

Provider Information

NPI Number: 1720242894
Entity Type: Organization
Organization Name: Ecsc III LLC
Primary Specialty: Anesthesiology
Enumeration Date: Jul 17, 2008
Last Updated: Jul 17, 2008

Practice Location

Address: 3535 LEE RD
City: Shaker Heights
State: Ohio
ZIP Code: 44120-5122
Phone: (941) 360-1566

Authorized Official

Name: CARL R NOBACK, MD
Title: OWNER
Phone: (941) 360-1566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiology	207L00000X	Primary

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