# AMBULATORY ANESTHESIA SERVICES OF SPRINGFIELD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043299910
- **Authorized official:** REBECCA J PRICE (ASSISTANT ADMINISTRATOR)
- **Authorized official phone:** (417) 882-1900

## Contact information

- **Practice address:** 3045 S NATIONAL AVE, SUITE 101, SPRINGFIELD, MO 65804-4247
- **Practice address phone:** (417) 882-1900
- **Practice address fax:** (417) 882-1966
- **Mailing address:** 3045 S NATIONAL AVE, SUITE 100, SPRINGFIELD, MO 65804-4247
- **Mailing address phone:** (417) 882-1900
- **Mailing address fax:** (417) 882-1966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | R9D64 | MO | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | 058813 | MO | — |
| 367500000X | Certified Registered Nurse Anesthetist | 063768 | MO | — |

## Other

- **Enumeration date:** 01/10/2006
- **Last updated:** 11/26/2007