Organization
DOMINION ANESTHESIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY PATRICK HAYES MD (GEN PTR)
(573) 686-5550
Entity
Organization
Contact information
Practice address
106 LUCAS ST, WAXAHACHIE, TX 75165-2202
(573) 686-5550
Mailing address
209 S MAIN ST, POPLAR BLUFF, MO 63901-5831
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
TX
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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