Organization
DEEP RIVER ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA BROWN (CFO)
(410) 429-6115
Entity
Organization
Contact information
Practice address
2 SAINT VINCENT CIR, LITTLE ROCK, AR 72205-5423
(501) 552-3000
Mailing address
1765 E NINE MILE RD STE 1-229, PENSACOLA, FL 32514-5479
(410) 429-6115
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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