Organization
ANTHRACITE ANESTHESIA ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DOPKO CRNA (AUTHORIZED OFFICIAL)
(570) 970-1030
Entity
Organization
Contact information
Practice address
11 GALLAGHER DR, PLAINS, PA 18705-1146
(570) 970-1030
(570) 970-0511
Mailing address
6 ANDOVER RD, MOUNTAIN TOP, PA 18707-2262
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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