Organization
ANESTHESIA SERVICES MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP A SOLAR CRNA (PRESIDENT)
(858) 254-4176
Entity
Organization
Contact information
Practice address
1333 E BARNETT RD, MEDFORD, OR 97504-8219
(888) 209-0305
(952) 442-3620
Mailing address
400 10TH ST E, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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