Organization · NPI-2

Eagle Plume Anesthesia Providers LLC

Anesthesiology · Terre Haute, IN

NPI number1689056988

StatusActive

Last updated in NPPESJun 23, 2015

Details

NPI: 1689056988
Entity type: Organization (NPI-2)
Legal business name: Eagle Plume Anesthesia Providers LLC
Organization subpart: No
Enumeration date: Jun 23, 2015
Last updated: Jun 23, 2015

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207L00000X	Anesthesiology	–	–	Yes
367500000X	Nurse Anesthetist, Certified Registered	–	–

Practice location

3901 S 7th St
Terre Haute, IN 47802-5709

Phone 469-401-2386

Mailing address

13737 Noel Rd
Ste1600
Dallas, TX 75240-1331

Phone 469-401-2386

Authorized official

Eddie Stone
President
4694012386

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