Provider Demographics
NPI:1376592238
Name:ANESTHESIOLOGY ASSOC. OF CLARK COUNTY INC.
Entity Type:Organization
Organization Name:ANESTHESIOLOGY ASSOC. OF CLARK COUNTY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD OF GROUP
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DUQUE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-282-2072
Mailing Address - Street 1:804 SCOTT NIXON MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30907-2464
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1035 WALL ST
Practice Address - Street 2:STE 101
Practice Address - City:JEFF
Practice Address - State:IN
Practice Address - Zip Code:47130-3612
Practice Address - Country:US
Practice Address - Phone:812-282-2072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty