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Kom Anesthesia Services LLC

Anesthesiology in Mount Vernon, WA. Organization (NPI-2).

NPI number1881995280
StatusActive
Last updated in NPPESNov 16, 2010

Details

NPI
1881995280
Entity type
Organization (NPI-2)
Legal business name
Kom Anesthesia Services LLC
Organization subpart
No
Enumeration date
Nov 16, 2010
Last updated
Nov 16, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X AnesthesiologyAP30006883WAYes

Practice location

2100 Little Mountain Ln
Mount Vernon, WA 98274-8752

Phone 360-416-6735

Mailing address

Po Box 97115
Lakewood, WA 98497-0115

Phone 253-588-7911 · Fax 253-984-6774

Authorized official

Benjamin E Siapco
Provider/Owner
2537974910

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