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NPI Code Detail

MEDICARE: OUTPATIENT ANESTHESIA SERVICES PC

MEDICARE: OUTPATIENT ANESTHESIA SERVICES PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianD44024MD

General Provider Information

NPI Number : 1548200975
Entity Type Code : Organization
Provider Name (Legal Business Name) : OUTPATIENT ANESTHESIA SERVICES PC
Provider Business Mailing Address
First Line : PO BOX 32550
Second Line :
City : PIKESVILLE
State : MD
Zip : 21282-2550
Country : US
Telephone Number : 410-356-0300
Fax Number : 410-356-0309
Provider Business Practice Location Address
First Line : 23 CROSSROADS DR
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-5476
Country : US
Telephone Number : 410-356-0300
Fax Number : 410-356-0309
Authorized Official
Title or Position : PRESIDENT
Name : SHERYL WALKER
Credential : MD
Telephone Number : 410-356-0300
Provider Enumeration Date : 06/07/2006
Last Update Date : 09/12/2014

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Directions to “OUTPATIENT ANESTHESIA SERVICES PC ” Practice Location

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