Organization
LIBERTY ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART J FEALK MD (OWNER/PRESIDENT/AUTHORIZED OFFICAL)
(509) 953-3287
Entity
Organization
Contact information
Practice address
105 W 8TH AVE, SUITE 6010, SPOKANE, WA 99204-2302
(509) 838-5950
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
(800) 394-4445
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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