Organization
PROFESSIONAL ANESTHESIA CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R WALTON (CEO)
(301) 986-8010
Entity
Organization
Contact information
Practice address
4330 E WEST HWY, SUITE 1100, BETHESDA, MD 20814-4408
(301) 986-8010
(301) 986-8011
Mailing address
4330 E WEST HWY, SUITE 1100, BETHESDA, MD 20814-4408
(301) 986-8010
(301) 986-8011
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA04290400
NJ
207L00000X
Anesthesiology Physician
C1-0006506
DE
207L00000X
Anesthesiology Physician
Primary
MD043052E
PA
207L00000X
Anesthesiology Physician
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001859392-0002
—
PA
05
—
8924309 & 8832005
—
NJ
Enumeration date
11/23/2005
Last updated
02/23/2015
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