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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
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