Organization
KO ANESTHESIA LLC
Active
Other names
KO Anesthesia LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA J DATKO DO (PHYSICIAN)
(814) 266-5795
Entity
Organization
Contact information
Practice address
1318 EISENHOWER BLVD, JOHNSTOWN, PA 15904
(814) 266-5795
(814) 467-8550
Mailing address
1318 EISENHOWER BLVD, JOHNSTOWN, PA 15904
(814) 266-5795
(814) 467-8550
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OS008866L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001739044
—
PA
01
—
990317
HIGHMARK
PA
Enumeration date
06/26/2006
Last updated
09/18/2008
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