# KOM ANESTHESIA SERVICES LLC

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

## Provider details

- **NPI number:** 1881995280
- **Authorized official:** BENJAMIN E SIAPCO CRNA (PROVIDER/OWNER)
- **Authorized official phone:** (253) 797-4910

## Contact information

- **Practice address:** 2100 LITTLE MOUNTAIN LN, MOUNT VERNON, WA 98274-8752
- **Practice address phone:** (360) 416-6735
- **Mailing address:** PO BOX 97115, LAKEWOOD, WA 98497-0115
- **Mailing address phone:** (253) 588-7911
- **Mailing address fax:** (253) 984-6774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | AP30006883 | WA | Yes |

## Other

- **Enumeration date:** 11/16/2010
- **Last updated:** 11/16/2010