| NPI | 1972533040 |
|---|---|
| Other Name | DODGE STREET ANESTHESIA PC |
| Entity Type | Organization |
| Authorized Contact | SUDHIR KONERU President 563-557-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2013-04-19 |