Organization
ANESTHESIA ASSOCIATES OF WOOSTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC DEHORTA MD (PRESIDENT)
(330) 263-8100
Entity
Organization
Contact information
Practice address
1761 BEALL AVE, WOOSTER, OH 44691-2342
(330) 263-8100
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0191868
—
OH
Enumeration date
06/06/2006
Last updated
12/19/2007
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