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Contact Information

PHOENIX ANESTHESIOLOGY GROUP PC
1900 COLUMBUS AVE
BAY CITY, MI48708
 Phone: 989-894-3077
 Fax: 989-894-6138
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for PHOENIX ANESTHESIOLOGY GROUP PC

NPI # 1639102197
LBN Legal business name PHOENIX ANESTHESIOLOGY GROUP PC
Authorized official DENNIS KEENE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/08/2006
Last updated 11/27/2007 - About 19 years ago
Identifiers
MI Medicaid 4085310
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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