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Organization

DEEP RIVER ANESTHESIA LLC

Active
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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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