Organization
MOON BAY ANESTHESIA, PC
Active
Organization
MOON BAY ANESTHESIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP B LEEDS MD (PRESIDENT)
(812) 473-0181
Entity
Organization
Contact information
Practice address
21 SE 3RD ST, 500, EVANSVILLE, IN 47708-1412
(812) 473-0181
(812) 473-5822
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 473-5822
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01043831A
IN
Other
Enumeration date
10/01/2007
Last updated
09/16/2009
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