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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