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Organization

ANESTHESIA CONSULTANTS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFF HAYS (BUSINESS MANAGER)
(847) 615-2200
Entity
Organization

Contact information

Practice address
2720 STONE PARK BLVD, SIOUX CITY, IA 51104
(712) 279-3500
(847) 615-2858
Mailing address
PO BOX 683, SIOUX CITY, IA 51102-0683
(712) 279-3500
(847) 615-2858

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
367500000X
Certified Registered Nurse Anesthetist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0123695
IA
05
0145581
IA
01
14558
WELLMARK BCBS MD GROUP
IA
01
26667
WELLMARK BCBS CRNA GROUP
IA
Enumeration date
09/22/2006
Last updated
12/23/2009
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