| NPI | 1326224270 |
|---|---|
| Former Legal Business Name | CRAWFORD AVENUE ANESTHESIA PROVIDER SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | RONALD HAYES President 800-243-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2014-09-11 |