Liberty Park Anesthesia Services, LLC
Clinic/Center, Medical Specialty in Vestavia Hls, AL. Organization (NPI-2).
NPI number1669980504
StatusActive
Last updated in NPPESAug 8, 2018
Details
- NPI
- 1669980504
- Entity type
- Organization (NPI-2)
- Legal business name
- Liberty Park Anesthesia Services, LLC
- Organization subpart
- Yes
- Enumeration date
- Jan 12, 2018
- Last updated
- Aug 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | AL | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | – | AL |
Practice location
1940 Stonegate Dr Ste 30Vestavia Hls, AL 35242
Phone 205-977-9876 · Fax 205-977-9976
Mailing address
1940 Stonegate Dr Ste 30Vestavia Hls, AL 35242-2540
Phone 205-977-9876 · Fax 205-977-9976
Other practice locations
7300 Halcyon Summit Dr
Montgomery, AL 36117-3699
Montgomery, AL 36117-3699
Phone 205-977-9876
Authorized official
Christopher B Harmon
Owner
2059779876
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