Organization
DAYTON ANESTHESIA & PAIN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY WILSON (DIRECTOR)
(865) 985-7114
Entity
Organization
Contact information
Practice address
405 W GRAND AVE, DAYTON, OH 45405-4720
(937) 723-3200
Mailing address
265 BROOKVIEW CENTRE WAY STE 203, KNOXVILLE, TN 37919-4053
(865) 985-7114
(865) 692-5867
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
08/12/2013
Last updated
04/17/2026
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