Organization
WEST BRANCH ANESTHESIA ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL JONES DO (PRESIDENT)
(330) 297-2765
Entity
Organization
Contact information
Practice address
6847 N CHESTNUT ST, RAVENNA, OH 44266-3929
(330) 297-2765
Mailing address
6847 N CHESTNUT ST, RAVENNA, OH 44266-3929
(330) 297-2765
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0033001
—
OH
Enumeration date
06/07/2006
Last updated
07/18/2007
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