Organization
SHENANGO VALLEY ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE G JORDAN CRNA (PRESIDENT)
(706) 660-8505
Entity
Organization
Contact information
Practice address
239 EDGEWOOD DRIVE EXT, TRANSFER, PA 16154-1817
(724) 962-2272
(706) 660-1454
Mailing address
310 LIGO RD, MERCER, PA 16137-4936
(724) 962-2272
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
PA
367H00000X
Anesthesiologist Assistant
—
PA
Other
Enumeration date
10/19/2010
Last updated
04/09/2014
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