Organization
LEGACY ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY ALLAN GREEN M.D. (MANAGER)
(216) 923-0666
Entity
Organization
Contact information
Practice address
5035 MAYFIELD RD, STE 101, LYNDHURST, OH 44124-2688
(216) 923-0666
(216) 342-1136
Mailing address
5035 MAYFIELD RD, STE 101, LYNDHURST, OH 44124-2688
(216) 923-0666
(216) 342-1136
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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