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Organization
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
Active
Organization
ENUMCLAW REGIONAL HOSPITAL ASSOCIATION
Active
Other names
St. Elizabeth Anesthesia Group
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE FITZGERALD (CFO)
(253) 680-4005
Entity
Organization
Contact information
Practice address
1455 BATTERSBY AVE, ENUMCLAW, WA 98022-3634
(253) 426-4692
Mailing address
1455 BATTERSBY AVE, ENUMCLAW, WA 98022-3634
(253) 426-4692
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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