Organization
SOUTHERN OHIO OPHTHALMIC ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN E DEMICK M.D. (OWNER)
(740) 773-6347
Entity
Organization
Contact information
Practice address
159 E 2ND ST, CHILLICOTHE, OH 45601-2526
(740) 773-6347
(740) 773-9093
Mailing address
159 E 2ND ST, CHILLICOTHE, OH 45601-2526
(740) 773-6347
(740) 773-9093
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2721040
—
OH
Enumeration date
10/04/2006
Last updated
10/30/2007
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