| NPI | 1154749075 |
|---|---|
| Doing Business As | PROVIDENCE ANESTHESIA GROUP |
| Entity Type | Organization |
| Authorized Contact | KELLY MOWRER Credentialing Specialist 216-472-2741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2014-03-29 |