Organization
WHITE FENCE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR TEREBUH MD (OWNER)
(786) 251-5741
Entity
Organization
Contact information
Practice address
7277 SMITHS MILL RD, SUITE 300, NEW ALBANY, OH 43054-8195
(786) 251-5741
Mailing address
7277 SMITHS MILL RD, SUITE 300, NEW ALBANY, OH 43054-8195
(786) 251-5741
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35077692
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35077692
MEDICAL LICENSE
OH
Enumeration date
05/09/2013
Last updated
05/09/2013
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