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Organization
MIDWEST ANESTHESIA ASSOCIATES, P.C.
Active
Organization
MIDWEST ANESTHESIA ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN HOLTZCLAW M.D. (PRESIDENT)
(865) 293-5676
Entity
Organization
Contact information
Practice address
1 MEMORIAL DR, ALTON, IL 62002-6722
(865) 293-5676
(865) 291-3239
Mailing address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984
(865) 293-5676
(865) 291-3239
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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