Organization
MID WEST ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHALLA AJIT M.D. (OWNER)
(937) 629-0100
Entity
Organization
Contact information
Practice address
2355 DERR RD, SPRINGFIELD, OH 45503-2439
(937) 629-0100
(937) 629-3285
Mailing address
2355 DERR RD, SPRINGFIELD, OH 45503-2439
(937) 629-0100
(937) 629-3285
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
12/06/2010
Last updated
12/07/2010
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