Organization
MERCY ANESTHESIA, INC
Active
Organization
MERCY ANESTHESIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THALES PAVLATOS (MANAGING DIRECTOR)
(937) 408-9445
Entity
Organization
Contact information
Practice address
100 W MAIN ST, SPRINGFIELD, OH 45502-1312
(317) 385-2375
Mailing address
875 E JACKSON RD, SPRINGFIELD, OH 45502-7403
(317) 385-2375
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
13476
OH
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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