Organization
COMMUNITY ANESTHESIA PROFESSIONALS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KETOVER MD (PRESIDENT)
(612) 871-1145
Entity
Organization
Contact information
Practice address
2550 UNIVERSITY AVENUE, SUITE 423 SOUTH, ST PAUL, MN 55114-1904
(612) 871-1145
(612) 870-5491
Mailing address
PO BOX 14909, MINNEAPOLIS, MN 55414-0909
(612) 871-1145
(612) 870-5491
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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