Healthcare Provider Details
I. General information
NPI: 1316201452
Provider Name (Legal Business Name): GEE'S ANESTHESIA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/03/2012
Last Update Date: 09/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1360 BAILEY ST
HANFORD CA
93230-5921
US
IV. Provider business mailing address
PO BOX 7096
STOCKTON CA
95267-0096
US
V. Phone/Fax
- Phone: 559-583-8889
- Fax:
- Phone: 209-956-7725
- Fax: 209-956-7733
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
QUINN
GEE
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 559-740-4094