# MOBILE ANESTHESIOLOGISTS OF MISSOURI, LLC

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

## Provider details

- **NPI number:** 1053699736
- **Authorized official:** DR. ROBERT S GERSON MD (PRESIDENT & CEO)
- **Authorized official phone:** (480) 276-2667

## Contact information

- **Practice address:** 8420 W BRYN MAWR AVE, SUITE 300, CHICAGO, IL 60631-3479
- **Practice address phone:** (773) 355-5300
- **Practice address fax:** (773) 714-1353
- **Mailing address:** 8420 W BRYN MAWR AVE, SUITE 300, CHICAGO, IL 60631-3479
- **Mailing address phone:** (773) 355-5300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 2011012170 | MO | Yes |

## Other

- **Enumeration date:** 07/28/2011
- **Last updated:** 07/28/2011