Organization
RIVER CITIES ANESTHESIA PLLC
Active
Other names
RIVER CITIES ANESTHESIA INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP EICHENHOLZ M.D. (PRESIDENT)
(214) 687-0001
Entity
Organization
Contact information
Practice address
2900 1ST AVE, HUNTINGTON, WV 25702
(304) 526-1031
Mailing address
PO BOX 610041, DALLAS, TX 75261-0041
(239) 610-0775
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
—
000742300
—
WV
01
—
1710227
BLUE CROSS WV PROVIDER #
WV
01
—
1721135
OH BLUE CROSS PROVIDER #
OH
Enumeration date
11/09/2006
Last updated
05/25/2021
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