Organization
SOUTHWOODS ANESTHESIA INC
Active
Organization
SOUTHWOODS ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD J PRIZANT MD (PRESIDENT)
(330) 758-1954
Entity
Organization
Contact information
Practice address
7525 CALIFORNIA AVE, BOARDMAN, OH 44512-5623
(330) 758-1954
Mailing address
PO BOX 182255, COLUMBUS, OH 43218-2255
(614) 430-5724
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01644648
—
PA
05
—
0256646
—
OH
01
—
CD5178
MEDICARE RAILROAD
—
Enumeration date
06/29/2006
Last updated
11/15/2007
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