Organization
WATAUGA ANESTHESIA ASSOCIATES, PA
Active
Organization
WATAUGA ANESTHESIA ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAL E DOUGLAS (PARTNER)
(828) 264-4691
Entity
Organization
Contact information
Practice address
719A GREENWAY ROAD, SUITE 100, BOONE, NC 28607-2270
(828) 264-4691
(828) 265-4288
Mailing address
PO BOX 2270, BOONE, NC 28607-2270
(828) 264-4691
(828) 265-4288
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8902919
—
NC
Enumeration date
08/17/2006
Last updated
10/17/2019
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