# CRESTLINE ANESTHESIA ASSOCIATES, P.C.

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

## Provider details

- **NPI number:** 1407288137
- **Authorized official:** DR. AMY ELIZABETH VAN ELKAN M.D. (PRESIDENT)
- **Authorized official phone:** (334) 396-6930

## Contact information

- **Practice address:** 7191 CAHABA VALLEY RD, SUITE 204, BIRMINGHAM, AL 35242-6402
- **Practice address phone:** (205) 995-9967
- **Mailing address:** PO BOX 235022, MONTGOMERY, AL 36123-5022
- **Mailing address phone:** (334) 396-6930
- **Mailing address fax:** (334) 396-6929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 00024957 | AL | Yes |

## Other

- **Enumeration date:** 08/05/2013
- **Last updated:** 08/05/2013