| NPI | 1649765835 |
|---|---|
| Doing Business As | PEORIA ANESTHESIA SERVICE |
| Entity Type | Organization |
| Authorized Contact | TERRY L BALDWIN Md 309-672-4980 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2020-08-17 |