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Organization

NETHERLANDS ANESTHESIA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEX GORECKI (CHIEF OPERATING OFFICER)
(850) 497-6702
Entity
Organization

Contact information

Practice address
104 LEGION DR, LAS VEGAS, NM 87701-4804
(505) 426-3500
Mailing address
PO BOX 69342, BALTIMORE, MD 21264-9342
(833) 352-0096

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
12/02/2020
Last updated
05/17/2021
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