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Organization

DOCTORS ANESTHESIA GROUP, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD D LONG (OFFICE MANAGER)
(308) 236-5506
Entity
Organization

Contact information

Practice address
115 E 52ND ST, KEARNEY, NE 68847-0502
(308) 236-5506
(308) 236-7089
Mailing address
PO BOX 963, KEARNEY, NE 68848-0963
(308) 236-5506
(308) 236-7089

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CS2215
RAILROAD MEDICARE
NE
Enumeration date
08/17/2006
Last updated
03/03/2010
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