Organization
ICELAND ANESTHESIA MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY PFEIFFER (DIRECTOR OF MEDICAL STAFF SERVICES)
(833) 352-0096
Entity
Organization
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(833) 352-0096
Mailing address
PO BOX 69394, BALTIMORE, MD 21264-9394
(833) 352-0096
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
07/05/2021
Last updated
11/29/2021
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