Organization
KOKOMO ANESTHESIA SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN BERNARD LODDE MD (PRESIDENT OWNER)
(765) 457-0041
Entity
Organization
Contact information
Practice address
4200 MILLERWOOD LANE, KOKOMO, IN 46901-3999
(765) 457-0041
(765) 459-5086
Mailing address
4200 MILLERWOOD LANE, KOKOMO, IN 46901-3999
(765) 457-0041
(765) 459-5086
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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