NPI 1487824231

D G Reliable Anesthesia PC

Organisation Specialist La Porte, IN

Practice location

Address: 800 Lincolnway Suite 301, La Porte, IN 46350-3439
Phone: (219) 324-2229
Fax: (219) 324-2229

Authorised official

Name: Dale a Goodman
Title: Owner
Phone: (219) 324-2229

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 01041200 (IN)

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Registry record

NPI: 1487824231
Entity type: Organization
NPI issued: 7 Mar 2008
Record last updated: 9 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.