Healthcare Provider Details

I. General information

NPI: 1750218830
Provider Name (Legal Business Name): GUIDANT ANESTHESIA SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14122 ALFALFA FIELD CT
BOWIE MD
20720-5843
US

IV. Provider business mailing address

14122 ALFALFA FIELD CT
BOWIE MD
20720-5843
US

V. Phone/Fax

Practice location:
  • Phone: 610-597-5134
  • Fax:
Mailing address:
  • Phone: 610-597-5134
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. VICTORIA LADELE
Title or Position: CEO
Credential: CRNA
Phone: 803-474-3000