Organization
PAX ANESTHESIA, LLC
Active
Other names
J BRIAN LIDDY, MD
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE EVALYN COLE MHSA, CASC (CEO)
(541) 228-3660
Entity
Organization
Contact information
Practice address
1410 OAK ST, EUGENE, OR 97401-4604
(541) 228-3666
(541) 228-3670
Mailing address
1410 OAK ST, EUGENE, OR 97401-4604
(541) 228-3666
(541) 228-3670
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD154919
OR
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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