Organization
SOUTHFIELD ANESTHESIA, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE E AHLBRANDT MD (MD/PRESIDENT)
(717) 741-1414
Entity
Organization
Contact information
Practice address
2690 SOUTHFIELD DRIVE, YORK, PA 17403-4510
(717) 741-1414
(717) 741-4774
Mailing address
2690 SOUTHFIELD DRIVE, YORK, PA 17403-4510
(717) 741-1414
(717) 741-4774
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002072433
BLUE SHIELD
PA
01
—
1022119000001
MEDICAL ASSISTANCE
PA
01
—
139494
MEDICARE
PA
01
—
254646
UNISON HEALTH PLAN
PA
01
—
50081121
CAPITAL BLUECROSS
PA
01
—
DO3335
RAILROAD MEDICARE
GA
Enumeration date
08/29/2008
Last updated
12/07/2015
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