Organization
ANESTHESIOLOGY CONSULTANTS OF WALLA WALLA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY G CAUDILL MD (PRESIDENT)
(509) 529-1284
Entity
Organization
Contact information
Practice address
1277 WOODWARD CANYON RD, TOUCHET, WA 99360-9709
(509) 529-1284
(509) 522-1798
Mailing address
PO BOX 1663, WALLA WALLA, WA 99362-0031
(509) 529-1284
(509) 522-1798
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150622
—
OR
05
—
7084999
—
WA
01
—
CE2367
RAILROAD MEDICARE
WA
Enumeration date
10/05/2005
Last updated
06/14/2010
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