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Organization

CENTRAL ANESTHESIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN H JOHNSON MD (CEO)
(814) 684-6374
Entity
Organization

Contact information

Practice address
187 HOSPITAL DR, TYRONE, PA 16686-1808
(814) 684-6374
(814) 684-6320
Mailing address
PO BOX 265, MARTINSBURG, PA 16662
(814) 793-4833
(814) 793-4834

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD044867E
PA
208VP0000X
Pain Medicine Physician
Primary
MD044867E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018957730001
PA
Enumeration date
08/20/2006
Last updated
12/05/2011
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