Healthcare Provider Details
I. General information
NPI: 1346216793
Provider Name (Legal Business Name): ANESTHESIA GROUP OF GRAND ISLAND PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/26/2006
Last Update Date: 11/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3610 RICHMOND CIR
GRAND ISLAND NE
68803-3927
US
IV. Provider business mailing address
3610 RICHMOND CIR PO BOX 5524
GRAND ISLAND NE
68803-3927
US
V. Phone/Fax
- Phone: 308-384-6400
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CURTIS
ALBERS
Title or Position: PRESIDENT
Credential:
Phone: 308-384-6400