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Organization

WINCHESTER ANESTHESIOLOGISTS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RHONDA K ORANTESMARTINEZ (DELAGATED OFFICIAL)
(540) 662-8336
Entity
Organization

Contact information

Practice address
878 FOX DR, WINCHESTER, VA 22603-8613
(540) 662-8336
Mailing address
PO BOX 3297, WINCHESTER, VA 22604-2495
(540) 662-8336
(540) 662-8593

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0008206000
WV
01
0396881000
IBC PROVIDER ID
PA
01
051519
ANTHEM BS
VA
01
1017991
BRICKSTREET WORKERS COMP
01
105462
OPTIMAHEALTH GROUP NUMBER
VA
01
148860700
US DEPT OF LABOR
FL
01
148860700
FEDERAL BLACK LUNG
01
2134174
MAMSI
01
221163
SOUTHERN HEALTH
KY
Enumeration date
04/19/2006
Last updated
12/26/2019
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