Organization
BLUE RIDGE ANESTHESIA ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN JAMES M.D (PRESIDENT)
(540) 345-3556
Entity
Organization
Contact information
Practice address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3601
Mailing address
PO BOX 8310, ROANOKE, VA 24014-0310
(540) 345-3556
(540) 342-2193
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346410727
—
VA
01
—
D03811
RAILROAD MEDICARE
—
Enumeration date
03/03/2008
Last updated
09/11/2017
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