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Organization
16TH STREET ANESTHESIA SERVICES CORP
Active
Organization
16TH STREET ANESTHESIA SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BRAZILL MD (PRESIDENT)
(661) 395-1335
Entity
Organization
Contact information
Practice address
2323 16TH ST STE 507, BAKERSFIELD, CA 93301-3454
(661) 395-1335
Mailing address
2323 16TH ST STE 507, BAKERSFIELD, CA 93301-3454
(661) 395-1335
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
06/10/2019
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