Organization
REBSAMEN ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT MEYER (CEO)
(800) 444-6110
Entity
Organization
Contact information
Practice address
1400 BRADEN ST, JACKSONVILLE, AR 72076-3721
(501) 985-7000
Mailing address
PO BOX 6370, JACKSONVILLE, AR 72078-6370
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C541
BCBS
AR
Enumeration date
11/30/2006
Last updated
10/29/2007
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