Organization
UNIFOUR ANESTHESIA ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BRUCE STEVENS M.D. (VICE PRESIDENT)
(828) 327-8105
Entity
Organization
Contact information
Practice address
531 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 253-4870
Mailing address
415 N CENTER ST, SUITE 201, HICKORY, NC 28601-5036
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
40254
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
40254
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890266A
—
NC
Enumeration date
05/22/2008
Last updated
09/15/2011
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