Organization
OHIO RIVER ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ROUSSEL CRNA (ADMINISTRATOR)
(502) 243-4749
Entity
Organization
Contact information
Practice address
3605 NORTHGATE CT, SUITE 101, NEW ALBANY, IN 47150-6400
(502) 753-4949
Mailing address
PO BOX 635962, CINCINNATI, OH 45263-5962
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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