# BROOKVILLE ANESTHESIA SERVICES, PC

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

## Provider details

- **NPI number:** 1255465050
- **Authorized official:** DR. TANIS SHASTA PENDLETON M.D., PH.D. (PRESIDENT)
- **Authorized official phone:** (814) 849-1876

## Contact information

- **Practice address:** 100 HOSPITAL RD, BROOKVILLE, PA 15825-1367
- **Practice address phone:** (814) 849-1876
- **Mailing address:** 111 SUMMIT ST, BROOKVILLE, PA 15825-1422
- **Mailing address phone:** (814) 849-8329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | MD429688 | PA | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 08/22/2020