# PAX ANESTHESIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** J BRIAN LIDDY, MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992180137
- **Authorized official:** PAULINE EVALYN COLE MHSA, CASC (CEO)
- **Authorized official phone:** (541) 228-3660

## Contact information

- **Practice address:** 1410 OAK ST, EUGENE, OR 97401-4604
- **Practice address phone:** (541) 228-3666
- **Practice address fax:** (541) 228-3670
- **Mailing address:** 1410 OAK ST, EUGENE, OR 97401-4604
- **Mailing address phone:** (541) 228-3666
- **Mailing address fax:** (541) 228-3670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | MD154919 | OR | Yes |

## Other

- **Enumeration date:** 07/29/2015
- **Last updated:** 07/29/2015