Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI Number | 1568747913 |
| LBN Legal business name | DG ANESTHESIA LLC |
| Authorized official | CRAIG PENNO - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/18/2011 |
| Last updated | 10/18/2011 - About 15 years ago |
| Identifiers | n/a |
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