Guardian Anesthesia Associates LLC
Nurse Anesthetist, Certified Registered in Poplar Bluff, MO. Organization (NPI-2).
NPI number1215366307
StatusActive
Last updated in NPPESNov 8, 2013
Details
- NPI
- 1215366307
- Entity type
- Organization (NPI-2)
- Legal business name
- Guardian Anesthesia Associates LLC
- Organization subpart
- No
- Enumeration date
- Nov 8, 2013
- Last updated
- Nov 8, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | – | – | Yes |
Practice location
219 Physicians ParkPoplar Bluff, MO 63901-3956
Phone 573-686-5550
Mailing address
194 Mallard TrailPoplar Bluff, MO 63901-1571
Phone 573-686-5550 · Fax 573-686-2139
Authorized official
Donald Foust
Mbr
5736865550
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