Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Other names
Shriners Hospitals for Children Professional Anesthesia Services
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY G. GANTT (PRESIDENT)
(813) 281-0300
Entity
Organization
Contact information
Practice address
2025 E RIVER PKWY, MINNEAPOLIS, MN 55414-3604
(612) 596-6100
(612) 339-7634
Mailing address
PO BOX 8500 LOCKBOX #7642, PHILADELPHIA, PA 19178-7642
(813) 281-0300
(813) 281-8113
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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