Organization
EASTRIVER ANESTHESIA SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUKHWINDER S GILL MD (PRESIDENT)
(419) 696-7701
Entity
Organization
Contact information
Practice address
2600 NAVARRE AVE, OREGON, OH 43616-3207
(419) 696-7701
(419) 696-7866
Mailing address
2600 NAVARRE AVE, OREGON, OH 43616-3207
(419) 696-7701
(419) 696-7866
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0393033
—
OH
01
—
366215600
USDOL
OH
Enumeration date
11/14/2006
Last updated
12/14/2011
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