Basic Information
Provider Information
NPI: 1023062205
EntityType: 2
ReplacementNPI:  
OrganizationName: PHYSICIANS ANESTHESIA OF MONROE, PLLC
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Mailing Information
Address1: PO BOX 94061
Address2:  
City: SEATTLE
State: WA
PostalCode: 981249461
CountryCode: US
TelephoneNumber: 4253533788
FaxNumber: 4253538041
Practice Location
Address1: 14701 179TH AVE SE
Address2:  
City: MONROE
State: WA
PostalCode: 982721108
CountryCode: US
TelephoneNumber: 3607947497
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/20/2006
LastUpdateDate: 11/19/2007
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AuthorizedOfficialLastName: CHAMBERLAIN
AuthorizedOfficialFirstName: DERMOT
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AuthorizedOfficialTitleorPosition: MANAGING PARTNER
AuthorizedOfficialTelephone: 4253532840
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IsOrganizationSubpart: N
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AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X WAY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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