Organization
SURGICAL ANESTHESIA OF NORFOLK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY L RIVERA (OFFICE MANAGER)
(308) 382-7744
Entity
Organization
Contact information
Practice address
3400 W NORFOLK AVE, NORFOLK, NE 68701-7701
(308) 382-7744
(308) 382-7744
Mailing address
PO BOX 1611, SURGICAL ANESTHESIA OF NORFOLK LLC, NORFOLK, NE 68702-1611
(308) 382-7744
(308) 382-7744
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024970800
—
NE
05
—
10025009800
—
NE
Enumeration date
10/17/2005
Last updated
10/03/2007
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