Organization
MJR ANESTHESIA LLC
Active
Other names
Office Anesthesia Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY JO RATLIFF MD (PRESIDENT)
(606) 432-8786
Entity
Organization
Contact information
Practice address
161 4TH ST, PIKEVILLE, KY 41501-1288
(606) 432-8786
(606) 432-8786
Mailing address
161 4TH ST, PIKEVILLE, KY 41501-1288
(606) 432-8786
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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