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Western Anesthesiology Associates, INC.

Pain Medicine, Interventional Pain Medicine in Saint Peters, MO. Organization (NPI-2).

NPI number1487899472
StatusActive
Last updated in NPPESDec 5, 2008

Details

NPI
1487899472
Entity type
Organization (NPI-2)
Legal business name
Western Anesthesiology Associates, INC.
Organization subpart
No
Enumeration date
Dec 5, 2008
Last updated
Dec 5, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0014X Pain Medicine, Interventional Pain Medicine––Yes

Practice location

5401 Veterans Memorial Pkwy
Suite #102
Saint Peters, MO 63376-1680

Phone 636-442-5070 · Fax 636-442-5071

Mailing address

5401 Veterans Memorial Pkwy
Suite #102
Saint Peters, MO 63376-1680

Phone 636-442-5070 · Fax 636-442-5071

Authorized official

Mary M Fortner
Credentialing Coordinator
6363869224

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