Organization
PHYSICIAN ANESTHESIA ASSOC INC PS
Active
Other names
Physicians Anesthesia Assoc
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN BEARD (OFFICE MANAGER)
(509) 972-1051
Entity
Organization
Contact information
Practice address
406 S 30TH AVE STE 202, YAKIMA, WA 98902-3713
(509) 972-1051
(509) 972-4166
Mailing address
406 S 30TH AVE STE 202, YAKIMA, WA 98902-3713
(509) 972-1051
(509) 972-4166
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7044969
—
WA
01
—
CD4327
RAILROAD MEDICARE
WA
Enumeration date
10/17/2006
Last updated
12/17/2007
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