# ASSOCIATED ANESTHESIOLOGISTS OF DECATUR

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

## Provider details

- **NPI number:** 1255319653
- **Authorized official:** DR. DALE OSTRANDER MD (PRESIDENT)
- **Authorized official phone:** (217) 876-8121

## Contact information

- **Practice address:** 2300 N EDWARD ST, DECATUR, IL 62526-4163
- **Practice address phone:** (217) 876-8121
- **Mailing address:** PO BOX 25137, DECATUR, IL 62525-5137
- **Mailing address phone:** (800) 897-6169
- **Mailing address fax:** (800) 897-6170

## Taxonomy

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

## Other

- **Enumeration date:** 01/05/2006
- **Last updated:** 02/13/2014