# ANESTHESIA MANAGEMENT SERVICES

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

## Provider details

- **NPI number:** 1295302420
- **Authorized official:** MARK VANDENBOSCH MD (PHYSICIAN)
- **Authorized official phone:** (321) 698-6853

## Contact information

- **Practice address:** 2844 EVENING ROCK ST, LAS VEGAS, NV 89135-1631
- **Practice address phone:** (321) 698-6853
- **Practice address fax:** (702) 818-3452
- **Mailing address:** 2844 EVENING ROCK ST, LAS VEGAS, NV 89135-1631

## Taxonomy

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

## Other

- **Enumeration date:** 06/07/2021
- **Last updated:** 06/07/2021