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Organization
SURGICAL ANESTHESIA SERVICES OF CALIFORNIA
Active
Organization
SURGICAL ANESTHESIA SERVICES OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW R RIBAUDO (PRESIDENT)
(404) 217-2659
Entity
Organization
Contact information
Practice address
2120 COWELL BLVD., SUITE 142, DAVIS, CA 95618-7840
(530) 750-7755
(530) 750-7767
Mailing address
13523 BARRETT PARKWAY DRIVE, SUITE 104, BALLWIN, MO 63021-3802
(636) 549-2404
(636) 549-2392
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Enumeration date
05/09/2008
Last updated
04/11/2013
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