Organization
STARK COUNTY ANESTHESIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL M RICHARDS DO (PRESIDENT)
(330) 499-5700
Entity
Organization
Contact information
Practice address
4665 DOUGLAS CIR NW, SUITE 101, CANTON, OH 44718-3673
(330) 499-5700
(330) 498-4229
Mailing address
4665 DOUGLAS CIR NW, SUITE 101, CANTON, OH 44718-3673
(330) 499-5700
(330) 498-4229
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0809316
—
OH
01
—
CJ0836
MEDICARE RAILROAD
—
Enumeration date
05/13/2006
Last updated
04/20/2008
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