Jersey County Anesthesia Group Ltd
NPI #1801047865 in Jerseyville, Illinois
Provider Information
- NPI Number
- 1801047865
- Entity Type
- Organization
- Organization Name
- Jersey County Anesthesia Group Ltd
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 8, 2008
- Last Updated
- Oct 8, 2008
Practice Location
- Address
- 400 MAPLE SUMMIT RD
- City
- Jerseyville
- State
- Illinois
- ZIP Code
- 62052-2028
- Phone
- (618) 498-9014
Authorized Official
- Name
- MR. LARRY DUANE RAWLINGS, CRNA
- Title
- PRESIDENT
- Phone
- (618) 498-9014
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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