Organization
COSHOCTON ANESTHESIA PROFESSIONALS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN BIRCH (PROVIDER ENROLLMENT SPECIALISTS)
(913) 599-9336
Entity
Organization
Contact information
Practice address
1460 ORANGE ST, COSHOCTON, OH 43812-2229
(913) 599-9336
Mailing address
5761 PINTAIL CT, WESTERVILLE, OH 43082-9045
(913) 599-9336
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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