Organization
HANCOCK ANESTHESIA GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAIR T. STOTT MD (PRESIDENT)
(317) 871-8261
Entity
Organization
Contact information
Practice address
801 N STATE ST, GREENFIELD, IN 46140-1270
(317) 871-8261
(317) 870-0499
Mailing address
PO BOX 68952, INDIANAPOLIS, IN 46268-0952
(317) 871-8261
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200254340
—
IN
05
—
200254340A
—
IN
Enumeration date
11/10/2005
Last updated
04/26/2012
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