Organization
CANONSBURG ANESTHESIA ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN K LEE MD (PRESIDENT)
(724) 745-6100
Entity
Organization
Contact information
Practice address
100 MEDICAL BLVD, CANONSBURG GENERAL HOSIPTAL, CANONSBURG, PA 15317
(724) 745-6100
Mailing address
PO BOX 385, CECIL, PA 15321-0385
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010709030005
—
PA
Enumeration date
08/17/2006
Last updated
02/03/2016
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