# MJR ANESTHESIA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Office Anesthesia Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568247955
- **Authorized official:** DR. MARY JO RATLIFF MD (PRESIDENT)
- **Authorized official phone:** (606) 432-8786

## Contact information

- **Practice address:** 161 4TH ST, PIKEVILLE, KY 41501-1288
- **Practice address phone:** (606) 432-8786
- **Practice address fax:** (606) 432-8786
- **Mailing address:** 161 4TH ST, PIKEVILLE, KY 41501-1288
- **Mailing address phone:** (606) 432-8786

## Taxonomy

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

## Other

- **Enumeration date:** 08/25/2023
- **Last updated:** 08/25/2023