Organization
SCP ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID W HOLST (PRESIDENT BOARD OF MANAGERS)
(615) 345-6900
Entity
Organization
Contact information
Practice address
7430 N SHADELAND AVE, STE 100, INDIANAPOLIS, IN 46250-2070
(317) 841-8005
(317) 841-8092
Mailing address
7430 N SHADELAND AVE, STE 100, INDIANAPOLIS, IN 46250-2070
(317) 841-8005
(317) 841-8092
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/03/2013
Last updated
04/05/2016
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