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Organization

MADDEN ANESTHESIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
POPPY WALKER MBA (PRACTICE ADMINISTRATOR)
(325) 660-5535
Entity
Organization

Contact information

Practice address
200 HOSPITAL DR STE 600, GLEN BURNIE, MD 21061-5865
(410) 766-3937
Mailing address
3301 S 14TH ST STE 16180, ABILENE, TX 79605-5015
(325) 660-5535

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
04/07/2022
Last updated
07/04/2022
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