Organization
BLACKWELL ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
POPPY WALKER MBA (PRACTICE ADMINISTRATOR)
(325) 675-6466
Entity
Organization
Contact information
Practice address
6011 UNIVERSITY BLVD STE 190, ELLICOTT CITY, MD 21043-6104
(410) 461-0960
Mailing address
3301 S 14TH ST STE 16180, ABILENE, TX 79605-5015
(325) 675-6466
(325) 692-6030
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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