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Organization

EAST RIVER ANESTHESIOLOGY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH PARKER M.D. (VICE PRESIDENT)
(304) 487-3559
Entity
Organization

Contact information

Practice address
109 MORRISON DR, PRINCETON, WV 24740-2322
(304) 487-3559
(304) 487-7928
Mailing address
PO BOX 1143, PRINCETON, WV 24740-1143
(304) 487-3559
(304) 487-7928

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
03/22/2017
Last updated
06/22/2022
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