Organization
TKO ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON EPPERSON (OFFICER)
(928) 247-4520
Entity
Organization
Contact information
Practice address
2915 219TH AVE E, LAKE TAPPS, WA 98391-5634
(928) 247-4520
Mailing address
2915 219TH AVE E, LAKE TAPPS, WA 98391-5634
(928) 247-4520
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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