Organization
BROOKVILLE ANESTHESIA SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANIS SHASTA PENDLETON M.D., PH.D. (PRESIDENT)
(814) 849-1876
Entity
Organization
Contact information
Practice address
100 HOSPITAL RD, BROOKVILLE, PA 15825-1367
(814) 849-1876
Mailing address
111 SUMMIT ST, BROOKVILLE, PA 15825-1422
(814) 849-8329
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD429688
PA
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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