Organization
THE ANESTHESIA MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK E ETTER MD (PHYSICIAN ANESTHESIOLOGIST)
(434) 962-3607
Entity
Organization
Contact information
Practice address
1360 S BERETANIA ST, SUITE 215, HONOLULU, HI 96814-1520
(808) 532-3711
(808) 532-3713
Mailing address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/21/2006
Last updated
05/19/2021
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