Organization
PICKAWAY ANESTHESIA SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY L BROWN CRNA (PRESIDENT)
(740) 642-5366
Entity
Organization
Contact information
Practice address
1235 SOUTH COURT ST, CIRCLEVILLE, OH 43113
(740) 642-5366
(614) 451-7097
Mailing address
9651 DRY RON RD, KINGSTON, OH 45644
(740) 642-5366
(614) 451-7097
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
NA3636
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.03636-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0827323
—
OH
Enumeration date
09/13/2006
Last updated
04/21/2014
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