PRODIGY OFFICE ANESTHESIA, LLC

CORBIN, KY
NPI1639950140
Entity TypeOrganization
Authorized ContactBENJAMIN T. SMALL
Organizer
304-741-4957
Organization Subpart ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
Enumeration Date2023-10-10
Last Update Date2023-10-10
Business Address
PRODIGY OFFICE ANESTHESIA, LLC
1710 CUMBERLAND FALLS HWY
CORBIN, KY 40701-2727
Phone number: 606-528-6700
Mailing Address
PRODIGY OFFICE ANESTHESIA, LLC
917 COUNTRY OAKS DR
RICHMOND, KY 40475-8492
Phone number: 304-741-4957
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