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Organization

KANE ANESTHESIA PROFESSIONAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN GARY RHODES (CEO)
(814) 837-8585
Entity
Organization

Contact information

Practice address
4372 ROUTE 6, KANE, PA 16735-3060
(814) 837-8585
(814) 837-7992
Mailing address
4372 ROUTE 6, KANE, PA 16735-3060
(814) 837-8585
(814) 837-7992

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1520056
BLUE SHIELD CRNA
PA
01
1520061
BLUE SHIELD M.D.
PA
Enumeration date
12/16/2005
Last updated
04/20/2008
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