Provider Demographics
NPI:1417993684
Name:UNION DEPOSIT ANESTHESIA, PC
Entity Type:Organization
Organization Name:UNION DEPOSIT ANESTHESIA, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:RHOADES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-545-8525
Mailing Address - Street 1:4760 UNION DEPOSIT RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-3729
Mailing Address - Country:US
Mailing Address - Phone:717-545-8525
Mailing Address - Fax:717-545-7388
Practice Address - Street 1:4760 UNION DEPOSIT RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111-3729
Practice Address - Country:US
Practice Address - Phone:717-545-8525
Practice Address - Fax:717-545-7388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty