Provider Demographics
NPI:1588971048
Name:DOGWOOD ANESTHESIA, P.A.
Entity type:Organization
Organization Name:DOGWOOD ANESTHESIA, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:STOLZY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:479-366-2992
Mailing Address - Street 1:4305 LEGACY DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-7474
Mailing Address - Country:US
Mailing Address - Phone:479-366-2992
Mailing Address - Fax:
Practice Address - Street 1:4305 LEGACY DR
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-7474
Practice Address - Country:US
Practice Address - Phone:479-366-2992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-06
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARN-7369207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty