Organization
PARKWAY ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CLEMENS MD PHD (CEO)
(660) 827-0492
Entity
Organization
Contact information
Practice address
1874 BELTLINE RD SW, DECATUR, AL 35601-5514
(256) 350-2211
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/26/2011
Last updated
04/27/2011
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