Organization
PRIME ANESTHESIA ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A GARVIN DO (AUTHORIZED OFFICIAL)
(717) 431-2368
Entity
Organization
Contact information
Practice address
810 PLAZA BLVD STE 101, LANCASTER, PA 17601-2762
(717) 431-2368
Mailing address
PO BOX 8230, LANCASTER, PA 17604-8230
(888) 601-0675
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE
PA
Enumeration date
03/13/2018
Last updated
02/12/2024
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