Provider First Line Business Practice Location Address:
ONE CHILDREN'S PLAZA
Provider Second Line Business Practice Location Address:
CHILDREN'S ANESTHESIA GROUP, INC.
Provider Business Practice Location Address City Name:
DAYTON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45404-1815
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
937-641-3350
Provider Business Practice Location Address Fax Number:
937-641-6145
Provider Enumeration Date:
10/13/2006