Organization
ANESTHESIA ASSOCIATES OF GARRETT COUNTY LLC
Active
Organization
ANESTHESIA ASSOCIATES OF GARRETT COUNTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS L JACKSON CRNA (PRESIDENT)
(412) 937-5848
Entity
Organization
Contact information
Practice address
251 N 4TH ST, OAKLAND, MD 21550-1375
(412) 937-5848
(412) 937-5708
Mailing address
3951 PALISADES DR, WEIRTON, WV 26062-4326
(412) 937-5848
(412) 937-5708
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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