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Organization
ELK REGIONAL PROFESSIONAL GROUP, INC.
Active
Organization
ELK REGIONAL PROFESSIONAL GROUP, INC.
Active
Other names
ERPG Anesthesia Services
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JAMIE LYNN SIMBECK (BUSINESS ADMINISTRATOR)
(814) 788-8615
Entity
Organization
Contact information
Practice address
763 JOHNSONBURG RD, ANESTHESIA DEPARTMENT, ST MARYS, PA 15857-3417
(814) 788-8580
(814) 788-8092
Mailing address
763 JOHNSONBURG RD, ANESTHESIA DEPARTMENT, ST MARYS, PA 15857-3417
(814) 788-8000
(814) 788-8042
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
10/03/2005
Last updated
08/19/2010
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