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Moon Bay Anesthesia, Pc

Moon Bay Anesthesia, Pc is a health care provider in Evansville, IN. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 21 Se 3rd St, 500, Evansville, IN 47708-1412, US
Practice Location Phone812-473-0181
Practice Location Fax812-473-5822
Legal Business NameMOON BAY ANESTHESIA, PC
NPI ?1902093230
Entity TypeOrganization
Enumeration Date ? Oct 1, 2007
Last Update Date ? Sep 16, 2009
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Moon Bay Anesthesia, Pc

SpecialtySpecializationLicenseLicense State
Anesthesiology 01043831AIndiana

legacy-id-icon Legacy Provider IDs of Moon Bay Anesthesia, Pc

Provider IdIssuer StateIssuer TypeIssuer
220050IndianaMedicare Pin

official-icon Authorized Official of Moon Bay Anesthesia, Pc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Moon Bay Anesthesia, Pc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Philip B Leeds (MD)
Authorized Official Title/PositionPRESIDENT
Authorized Official Phone Number812-473-0181