Organization
PREMIER ANESTHESIA OF MASSILLON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER BARRON (GROUP MANAGER)
(334) 396-6930
Entity
Organization
Contact information
Practice address
875 8TH ST NE, MASSILLON, OH 44646-8503
(330) 832-8761
Mailing address
PO BOX 235022, MONTGOMERY, AL 36123-5022
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2527117
—
OH
Enumeration date
03/31/2006
Last updated
08/22/2020
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