Organization
AMSOL ANESTHETISTS OF INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN D HILLIARD (CFO)
(336) 884-1830
Entity
Organization
Contact information
Practice address
4011 S TIWARI BLVD, BLOOMINGTON, IN 47403-8000
(812) 825-1111
Mailing address
PO BOX 2644, BIRMINGHAM, AL 35202-2644
(205) 322-1808
(205) 322-1851
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
12/10/2007
Last updated
02/25/2008
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