Organization
EXCEL ANESTHESIA PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L WRIGHT CRNA (PARTNER)
(270) 274-0480
Entity
Organization
Contact information
Practice address
1020 N MAIN ST, BEAVER DAM, KY 42320-1553
(270) 274-0480
(270) 274-0482
Mailing address
1020 N MAIN ST, BEAVER DAM, KY 42320-1553
(270) 274-0480
(270) 274-0482
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74904137
—
KY
Enumeration date
08/11/2005
Last updated
07/21/2016
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