BRIGHAM ANESTHESIA SOUTH LLC

CARBONDALE, IL
NPI1699769232
Entity TypeOrganization
Authorized ContactGARDNER THOMAS KENNY
Managing Member
618-457-5111
Organization Subpart ?No
Primary Taxonomy207L00000X Anesthesiology
Enumeration Date2005-09-09
Last Update Date2011-08-04
Business Address
BRIGHAM ANESTHESIA SOUTH LLC
405 W JACKSON ST MEMORIAL HOSPITAL OF CARBONDALE
CARBONDALE, IL 62901-1462
Phone number: 618-549-0721
Mailing Address
BRIGHAM ANESTHESIA SOUTH LLC
35 ALBANY RD SUITE C
CARBONDALE, IL 62903-7605
Phone number: 618-457-5111
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