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NPI Code Detail

MEDICARE: ANESTHESIA AND PAIN MANAGEMENT ASSOC., P.A.

MEDICARE: ANESTHESIA AND PAIN MANAGEMENT ASSOC., P.A.
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 Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3CD7786OTHERRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15B700OTHERARBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689621245
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANESTHESIA AND PAIN MANAGEMENT ASSOC., P.A.
Provider Business Mailing Address
First Line : PO BOX 144
Second Line :
City : SEARCY
State : AR
Zip : 72145-0144
Country : US
Telephone Number : 501-279-2426
Fax Number : 501-279-2501
Provider Business Practice Location Address
First Line : 3214 E RACE AVE
Second Line :
City : SEARCY
State : AR
Zip : 72143-4810
Country : US
Telephone Number : 501-268-6121
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : JUNE GEHRING
Credential :
Telephone Number : 501-279-2426
Provider Enumeration Date : 05/28/2006
Last Update Date : 05/22/2008

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