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1073647178
OLDE TOWN ANESTHESIA ASSOCIATES, PC
BOWIE, MD
NPI
1073647178
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Entity Type
Organization
Authorized Contact
ROBERT LEE LYLES
President
703-820-6418
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: VA 0101035966)
Enumeration Date
2007-03-14
Last Update Date
2020-08-22
Business Address
OLDE TOWN ANESTHESIA ASSOCIATES, PC
4000 MITCHELLVILLE RD SUITE B322
BOWIE, MD 20716-3104
Phone number: 703-820-6418
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Mailing Address
OLDE TOWN ANESTHESIA ASSOCIATES, PC
4520 KING ST
ALEXANDRIA, VA 22302-1347
Phone number: 703-820-6418
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