Organization
MOUNTAIN STATES HEALTH ALLIANCE
Active
Other names
Russell County Medical Center Anesthesiology Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN H. EICHORN (SENIOR VICE PRESIDENT AND CFO)
(423) 431-1017
Entity
Organization
Contact information
Practice address
58 CARROLL STREET, LEBANON, VA 24266-4510
(276) 883-8000
Mailing address
58 CARROLL STREET, LEBANON, VA 24266-4510
(276) 883-8000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H1892
VA
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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