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1821654666
PROVIDIAN ANESTHESIA LLC
LOUISVILLE, KY
NPI
1821654666
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Entity Type
Organization
Authorized Contact
DENIS J BEITER
Member
502-472-5020
Organization Subpart ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
Enumeration Date
2019-05-16
Last Update Date
2019-05-16
Business Address
PROVIDIAN ANESTHESIA LLC
1169 EASTERN PKWY STE 400
LOUISVILLE, KY 40217-1412
Phone number: 502-276-5554
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Mailing Address
PROVIDIAN ANESTHESIA LLC
12468 LA GRANGE RD STE 342
LOUISVILLE, KY 40245-1901
Phone number: 502-472-5020
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