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Organization
MWG ANESTHESIA INC A PROFESSIONAL CORPORATION
Active
Organization
MWG ANESTHESIA INC A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL W GIBBS MD (OWNER/PHYSICIAN)
(317) 750-9983
Entity
Organization
Contact information
Practice address
3444 KEARNY VILLA RD, SUITE 100, SAN DIEGO, CA 92123-1959
(858) 268-3566
Mailing address
PO BOX 41, MUNCIE, IN 47308-0041
(765) 284-0493
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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