Organization
PIONEER ANESTHESIA CONSULTANTS, LLC
Active
Organization
PIONEER ANESTHESIA CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG A IMEL MD (PARTNER)
(317) 831-1160
Entity
Organization
Contact information
Practice address
1201 HADLEY RD, MOORESVILLE, IN 46158-1737
(317) 831-1160
Mailing address
2001 N GRANVILLE AVE, MUNCIE, IN 47303-2110
(765) 284-0493
(765) 213-3240
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200006610A
—
IN
05
—
200080640
—
IN
05
—
200096880
—
IN
Enumeration date
05/20/2006
Last updated
11/24/2014
Update your record
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