Organization
DOMINION ANESTHESIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR MYERS MD (AUTHORIZED OFFICIAL)
(888) 276-1910
Entity
Organization
Contact information
Practice address
1701 N GEORGE MASON DR # DR.2D, ARLINGTON, VA 22205-3610
(888) 276-1910
(517) 787-1027
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(888) 276-1910
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
VA
367500000X
Certified Registered Nurse Anesthetist
—
VA
Other
Enumeration date
06/09/2006
Last updated
07/22/2021
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