# ASSOCIATED ANESTHESIOLOGISTS PA

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

## Provider details

- **NPI number:** 1780610139
- **Authorized official:** DEBBIE LYNN POPHAM (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (651) 209-8071

## Contact information

- **Practice address:** 8681 EAGLE POINT BLVD, LAKE ELMO, MN 55042-8628
- **Practice address phone:** (651) 251-8021
- **Practice address fax:** (651) 251-8050
- **Mailing address:** 8681 EAGLE POINT BLVD, LAKE ELMO, MN 55042-8628
- **Mailing address phone:** (651) 251-8021
- **Mailing address fax:** (651) 251-8050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 435 | MN | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | 435 | MN | — |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 01/25/2012