Organization
KEOKUK ANETHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAGADAMBA KANTAMNENI M.D. (OWNER)
(319) 524-7123
Entity
Organization
Contact information
Practice address
1512 MORGAN ST, KEOKUK, IA 52632-4028
(319) 524-7123
(319) 524-7123
Mailing address
1512 MORGAN ST, KEOKUK, IA 52632-4028
(319) 524-7123
(319) 524-7123
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25219
IA
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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