Organization
LOGAN REGIONAL ANESTHESIA SERVICES, LLC
Active
Organization
LOGAN REGIONAL ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY TEAGUE (VICE PRESIDENT, CORP SECRETARY)
(304) 553-7680
Entity
Organization
Contact information
Practice address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 553-7680
Mailing address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 553-7680
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
03/01/2023
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