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.
|Practice Location|| 21 Se 3rd St, 500, Evansville, IN 47708-1412, US |
|Practice Location Phone||812-473-0181|
|Practice Location Fax||812-473-5822|
|Legal Business Name||MOON BAY ANESTHESIA, PC|
|Enumeration Date ? ||Oct 1, 2007|
|Last Update Date ? ||Sep 16, 2009|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Moon Bay Anesthesia, Pc
|Specialty||Provider Type||Specialization||License||License State|
|Anesthesiology||Allopathic & Osteopathic Physicians|| ||01043831A||Indiana|
Legacy Provider IDs of Moon Bay Anesthesia, Pc
|Provider Id||Issuer State||Issuer Type||Issuer|
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/Position||PRESIDENT|
|Authorized Official Phone Number||812-473-0181|