Organization
COMMUNITY ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON EDGAR WUEBBOLT (PRESIDENT)
(814) 726-2303
Entity
Organization
Contact information
Practice address
2 FARM COLONY DRIVE, WARREN, PA 16365
(814) 726-2303
Mailing address
2 FARM COLONY DRIVE, WARREN, PA 16365
(814) 726-2303
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN226502L
PA
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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