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NPI Code Detail

MEDICARE: EAC ANESTHESIA, PC

MEDICARE: EAC ANESTHESIA, 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
1174400000XSpecialist

General Provider Information

NPI Number : 1477749851
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAC ANESTHESIA, PC
Provider Business Mailing Address
First Line : PO BOX 5561
Second Line :
City : FORT SMITH
State : AR
Zip : 72913-5561
Country : US
Telephone Number : 479-420-8552
Fax Number : 479-434-6003
Provider Business Practice Location Address
First Line : 3502 S N ST
Second Line : APARTMENT D
City : FORT SMITH
State : AR
Zip : 72903-2911
Country : US
Telephone Number : 479-420-8552
Fax Number :
Authorized Official
Title or Position : CRNA/ OWNER
Name : MS. EMILY A COLLAR
Credential : CRNA
Telephone Number : 479-420-8552
Provider Enumeration Date : 09/19/2007
Last Update Date : 09/19/2007

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Directions to “EAC ANESTHESIA, PC ” Practice Location

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