NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1093192882 |   |   |   | UNIFIED ANESTHESIA SERVICES, LLC | 1421 N 7TH ST | TERRE HAUTE | IN | 478071005 |
1336209303 |   |   |   | SYCAMORE ANESTHESIA SERVICES, LLC | PO BOX 3036 | INDIANAPOLIS | IN | 462063036 |
1578141024 | FOUNTAIN | EDNITA | CHARZETTE STREET |   | 3157 BASIN REFUGE RD | LUCEDALE | MS | 394527688 |
1073096715 | MONTEIRO | DERRIANNE | MICHELLE |   | 2401 W UNIVERSITY AVE | MUNCIE | IN | 473033428 |
1407849094 | PENDERGAST | THOMAS |   |   | PO BOX 3036 | INDIANAPOLIS | IN | 462063036 |
1518994813 | SPARKS | BRENT | ALAN |   | 4215 CARRIAGE LN | TERRE HAUTE | IN | 478058628 |