# TKO ANESTHESIA LLC

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

## Provider details

- **NPI number:** 1225597339
- **Authorized official:** BRANDON EPPERSON (OFFICER)
- **Authorized official phone:** (928) 247-4520

## Contact information

- **Practice address:** 2915 219TH AVE E, LAKE TAPPS, WA 98391-5634
- **Practice address phone:** (928) 247-4520
- **Mailing address:** 2915 219TH AVE E, LAKE TAPPS, WA 98391-5634
- **Mailing address phone:** (928) 247-4520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/18/2019
- **Last updated:** 03/18/2019