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Organization

SOUTHWEST OHIO ANESTHESIA CONSULTANTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN WOODS MD (PRESIDENT)
(214) 577-2709
Entity
Organization

Contact information

Practice address
7500 STATE RD, CINCINNATI, OH 45255-2439
(800) 930-6313
(817) 856-0655
Mailing address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
(214) 687-0497

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
367500000X
Certified Registered Nurse Anesthetist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000011498
ANTHEM BLUE SHIELD
05
0713419
OH
05
200366350A
IN
05
65934903
KY
05
74900564
KY
05
914338600
FL
Enumeration date
11/10/2005
Last updated
05/31/2022
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