Organization
TRI-COUNTY ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHANIEL NOBLE (AGENT)
(614) 451-7346
Entity
Organization
Contact information
Practice address
981 WOOSTER RD, MILLERSBURG, OH 44654
(614) 451-7346
(614) 451-5846
Mailing address
PO BOX 20451, COLUMBUS, OH 43220
(614) 451-7346
(614) 451-5846
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35049311A
OH
207L00000X
Anesthesiology Physician
35054628K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0882326
—
OH
Enumeration date
01/24/2006
Last updated
02/13/2008
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