Organization
PHOENIX ANESTHESIOLOGY GROUP PC
Active
Organization
PHOENIX ANESTHESIOLOGY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS KEENE MD (PRESIDENT)
(989) 893-9885
Entity
Organization
Contact information
Practice address
1900 COLUMBUS AVE, BAY CITY, MI 48708
(989) 894-3077
(989) 894-6138
Mailing address
7 PARKWAY CTR, STE 375, PITTSBURGH, PA 15220
(412) 937-5700
(412) 937-5739
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4085310
—
MI
Enumeration date
07/08/2006
Last updated
11/27/2007
Update your record
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