Spectrum Anesthesia Services, Sc

NPI #1972781862 in Peoria, Illinois

Provider Information

NPI Number: 1972781862
Entity Type: Organization
Organization Name: Spectrum Anesthesia Services, Sc
Primary Specialty: Anesthesiology
Enumeration Date: Feb 4, 2008
Last Updated: Feb 4, 2008

Practice Location

Address: 221 NE GLEN OAK AVE
City: Peoria
State: Illinois
ZIP Code: 61636-0002
Phone: (309) 672-5654

Authorized Official

Name: VICTORIA BELOPOLSKY, MD
Title: PRESIDENT
Phone: (309) 672-5654

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiology	207L00000X	Primary

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