Organization
LOETSCHER ANESTHESIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN MATTHEW LOETSCHER CRNA (PRESIDENT)
(870) 718-0471
Entity
Organization
Contact information
Practice address
4800 S HAZEL ST STE B, PINE BLUFF, AR 71603-6860
(870) 718-0471
Mailing address
PO BOX 1775, PINE BLUFF, AR 71613-1775
(870) 718-0471
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C002665
AR
Other
Enumeration date
09/13/2015
Last updated
09/13/2015
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