Organization
DEFINITIVE MEDICAL SOLUTIONS, PSC
Active
Other names
Arena & Monaco, PSC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGG K ARENA MD (PRESIDENT)
(606) 528-7200
Entity
Organization
Contact information
Practice address
801 MASTER ST STE 5, CORBIN, KY 40701-1026
(606) 528-7200
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000059765
ANTHEM
KY
05
—
65916389
—
KY
05
—
74903493
—
KY
01
—
CM6708
RR MEDICARE
KY
Enumeration date
08/28/2006
Last updated
06/15/2011
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