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Organization
NORTHSTATE ANESTHESIOLOGY PARTNERS A MEDICAL CORPORATION
Active
Organization
NORTHSTATE ANESTHESIOLOGY PARTNERS A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PRYOMSKI DO (GROUP PRESIDENT)
(530) 332-6800
Entity
Organization
Contact information
Practice address
888 LAKESIDE VLG COMMONS, CHICO, CA 95928-3979
(530) 332-6800
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0105050
—
CA
Enumeration date
05/24/2007
Last updated
03/15/2012
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