Organization
CAPITAL ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM TEDRICK JOHNSON (VP)
(804) 237-7760
Entity
Organization
Contact information
Practice address
2621 GROVE AVE, RICHMOND, VA 23220-4308
(804) 254-5100
(804) 254-5187
Mailing address
2621 GROVE AVE, RICHMOND, VA 23220-4308
(804) 254-5100
(804) 254-5187
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/22/2009
Last updated
05/05/2009
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