Organization
UNIVERSITY ANESTHESIA SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAUDE D BRUNSON M.D. (CHAIRMAN)
(601) 984-5931
Entity
Organization
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5931
(601) 984-5939
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5931
(601) 984-5939
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013202
—
MS
01
—
CJ0064
RAILROAD MEDICARE
MS
Enumeration date
09/22/2006
Last updated
12/12/2007
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