Organization
RIVER BEND ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD RICHARDS MD (PRESIDENT)
(574) 271-0013
Entity
Organization
Contact information
Practice address
215 W 4TH ST, MISHAWAKA, IN 46544-1917
(574) 271-0013
Mailing address
PO BOX 68952, INDIANAPOLIS, IN 46268-0952
(317) 802-6321
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01038482
IN
Other
Enumeration date
11/10/2005
Last updated
10/24/2007
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