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Organization
CHILDREN'S ANESTHESIA GROUP INC
Active
Organization
CHILDREN'S ANESTHESIA GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS BERGMAN CFO (C.F.O.)
(937) 641-3338
Entity
Organization
Contact information
Practice address
1 CHILDREN'S PLZ, DAYTON, OH 45404
(937) 641-3350
(937) 641-6145
Mailing address
1 CHILDREN'S PLZ, DAYTON, OH 45404-1815
(937) 641-3350
(937) 641-6145
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
OH
207LP3000X
Pediatric Anesthesiology Physician
Primary
—
OH
367500000X
Certified Registered Nurse Anesthetist
—
OH
Other
Enumeration date
10/09/2007
Last updated
06/19/2018
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