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Organization

EASTSIDE ANESTHESIA GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. G. GARTH GRANT CRNA (PRESIDENT)
(440) 729-8221
Entity
Organization

Contact information

Practice address
8251 MAYFIELD RD STE 23, CHESTERLAND, OH 44026-2567
(440) 729-8221
(440) 729-7896
Mailing address
8251 MAYFIELD RD STE 23, CHESTERLAND, OH 44026-2567
(440) 729-8221
(440) 729-7896

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
367500000X
Certified Registered Nurse Anesthetist

Other

Enumeration date
05/04/2006
Last updated
07/29/2010
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