NPI | 1740795293 |
---|---|
Doing Business As | PHS ANESTHESIA |
Entity Type | Organization |
Authorized Contact | BEAU HIGGINBOTHAN Vice President/COO 410-368-3182 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: DC HFD01-0212) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: DC HFD01-0212) |
367H00000X Anesthesiologist Assistant (Licence: DC HFD01-0212) | |
Enumeration Date | 2017-12-06 |
Last Update Date | 2017-12-06 |