Organization
ANESTHESIA SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHENTON OH MD (OWNER)
(425) 353-3788
Entity
Organization
Contact information
Practice address
3726 BROADWAY, SUITE 206, EVERETT, WA 98201-3787
(425) 353-3788
(425) 353-8041
Mailing address
PO BOX 84022, SEATTLE, WA 98124-8422
(425) 353-3788
(425) 353-8041
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184183
LABOR & INDUSTRIES
WA
05
—
7115025
—
WA
Enumeration date
12/12/2006
Last updated
11/20/2007
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