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Organization

SOUTHERN ILLINOIS ANESTHESIA LTD

Active
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Organization

SOUTHERN ILLINOIS ANESTHESIA LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENNIS L GRIGGS CRNA (PRESIDENT)
(812) 473-0181
Entity
Organization

Contact information

Practice address
2030 SHERMAN DR, PRINCETON, IN 47670-1045
(812) 385-5820
(812) 385-5826
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
207LP2900X
Pain Medicine (Anesthesiology) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000071585
ANTHEM
IN
05
200095330
IN
01
CF0120
RAILROAD MEDICARE
Enumeration date
06/20/2006
Last updated
02/14/2012
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