Organization
TODD OLLER ANESTHESIA SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD OLLER CRNA (SOLE PROPRIETOR)
(270) 535-1954
Entity
Organization
Contact information
Practice address
440 HOPKINSVILLE ST, GREENVILLE, KY 42345-1124
(270) 338-8000
Mailing address
9605 TWIN BRIDGES RD, ALVATON, KY 42122-9534
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
106825
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74003567
—
KY
Enumeration date
01/18/2007
Last updated
08/22/2020
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