Organization
CLINICAL COLLEAGUES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL GERDES (MANAGING PARTNER)
(800) 494-3964
Entity
Organization
Contact information
Practice address
3100 OAK GROVE, POPLAR BLUFF, MN 63902
(800) 494-3964
Mailing address
PO BOX 824246, PHILADELPHIA, PA 19182-4246
(954) 545-0337
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
03/13/2013
Last updated
08/11/2021
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