Organization
ADVANCED AMBULATORY ANESTHESIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY O'HARE (PRACTICE ADMINISTRATOR)
(804) 288-4453
Entity
Organization
Contact information
Practice address
1504 SANTA ROSA RD, SUITE 202, RICHMOND, VA 23229-5109
(804) 288-4453
(804) 288-1621
Mailing address
PO BOX 17978, RICHMOND, VA 23226-7978
(804) 288-4453
(804) 288-1621
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/14/2006
Last updated
10/01/2007
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