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Ambulatory Anesthesia Services Of Springfield, LLC

Anesthesiology, Pain Medicine in Springfield, MO. Organization (NPI-2).

NPI number1043299910
StatusActive
Last updated in NPPESNov 26, 2007

Details

NPI
1043299910
Entity type
Organization (NPI-2)
Legal business name
Ambulatory Anesthesia Services Of Springfield, LLC
Organization subpart
No
Enumeration date
Jan 10, 2006
Last updated
Nov 26, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207LP2900X Anesthesiology, Pain MedicineR9D64MOYes
367500000X Nurse Anesthetist, Certified Registered058813MO
367500000X Nurse Anesthetist, Certified Registered063768MO

Practice location

3045 S National Ave
Suite 101
Springfield, MO 65804-4247

Phone 417-882-1900 · Fax 417-882-1966

Mailing address

3045 S National Ave
Suite 100
Springfield, MO 65804-4247

Phone 417-882-1900 · Fax 417-882-1966

Authorized official

Rebecca J Price
Assistant Administrator
4178821900

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