Organization
ANESTHESIOLOGISTS D.O. INC.
Active
Other names
Doctors Pain Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CARISA L SECHRIST AAS (CREDENTIALING SPECIALIST)
(330) 629-2888
Entity
Organization
Contact information
Practice address
1011 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512-4226
(330) 629-2888
(330) 629-8940
Mailing address
1011 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512-4226
(330) 629-2888
(330) 629-8940
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
09915-NS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0063017
—
OH
Enumeration date
01/29/2014
Last updated
01/29/2014
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