Organization
ANESTHESIA SERVICES OF GREATER DAYTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY RIVIELLO CRNA (PRESIDENT)
(937) 287-8178
Entity
Organization
Contact information
Practice address
4235 INDIAN RIPPLE RD, BEAVERCREEK, OH 45440-3284
(937) 427-2020
Mailing address
4155-A LISA DR., TIPP CITY, OH 45371-8425
(937) 287-8178
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/31/2011
Last updated
12/28/2022
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