Organization
ANESTHESIA WEST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD C BAUERLY MD (PRESIDENT)
(402) 391-4855
Entity
Organization
Contact information
Practice address
7822 DAVENPORT STREET, OMAHA, NE 68114-3629
(402) 391-4855
(402) 391-4855
Mailing address
7822 DAVENPORT STREET, OMAHA, NE 68114-3629
(402) 391-4855
(402) 391-6818
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS7265
RR MEDICARE
—
Enumeration date
07/09/2006
Last updated
04/14/2016
Update your record
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