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Organization
SOUTHLAND ANESTHESIA CONSULTANTS INC
Active
Organization
SOUTHLAND ANESTHESIA CONSULTANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TENNA K BEHM (OFFICER)
(469) 401-2386
Entity
Organization
Contact information
Practice address
1805 MEDICAL CENTER DR, SAN BERNARDINO, CA 92411-1217
(909) 887-6333
Mailing address
PO BOX 744464, ATLANTA, GA 30374-4464
(866) 678-4320
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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