# BOWLING GREEN ANESTHESIOLOGY ASSOCIATES, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124058896
- **Authorized official:** STACIA DECKER (OFFICE MANAGER)
- **Authorized official phone:** (270) 782-9994

## Contact information

- **Practice address:** 1725 ASHLEY CIR, SUITE 209A, BOWLING GREEN, KY 42104-3337
- **Practice address phone:** (270) 782-9994
- **Practice address fax:** (270) 842-5048
- **Mailing address:** PO BOX 2020, BOWLING GREEN, KY 42102-2020
- **Mailing address phone:** (270) 782-9994
- **Mailing address fax:** (270) 842-5048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 01/27/2010