Organization
GI ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN SERVIS (CREDENTIALING SPECIALIST)
(937) 396-2602
Entity
Organization
Contact information
Practice address
4340 CLYO RD STE 200, DAYTON, OH 45459-7000
(937) 534-7330
(937) 395-3682
Mailing address
4340 CLYO RD STE 200, DAYTON, OH 45459-7000
(937) 534-7330
(937) 395-3682
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2917115
—
OH
Enumeration date
10/23/2008
Last updated
09/08/2025
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