Organization
MAHONING ANESTHESIA CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER ERNST (PRACTICE MANAGER)
(330) 758-2748
Entity
Organization
Contact information
Practice address
7067 TIFFANY BLVD, SUITE 230, YOUNGSTOWN, OH 44514-1993
(330) 758-2748
(330) 758-3282
Mailing address
PO BOX 33, LOWELLVILLE, OH 44436-0033
(330) 758-2748
(330) 758-3282
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
34-006401
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0306574
—
OH
Enumeration date
11/14/2007
Last updated
12/20/2007
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