Organization
TIOGA HEALTH CARE PROVIDERS INC 4
Active
Parent organization
LAUAREL HEALTH SYSTEM
Other names
WELLSBORO ANESTHESIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAUAREL HEALTH SYSTEM
Authorized official
RONALD J BUTLER (PRESIDENT)
(570) 723-7764
Entity
Organization
Contact information
Practice address
32-36 CENTRAL AVE, WELLSBORO, PA 16901-1840
(570) 723-7764
Mailing address
1699 WASHINGTON RD, STE 307, PITTSBURGH, PA 15228-1629
(412) 831-3744
(412) 831-5663
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
06/11/2006
Last updated
10/02/2007
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