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Organization

PREMIER ANESTHESIA ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JIM P DOYLE CRNA (CO-OWNER)
(812) 569-0421
Entity
Organization

Contact information

Practice address
321 MITCHELL AVE, BATESVILLE, IN 47006-8909
(812) 569-0421
Mailing address
PO BOX 408, GREENSBURG, IN 47240-0408
(812) 569-0421

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200323510A
IN
Enumeration date
04/24/2006
Last updated
12/29/2015
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