# MEDICAL ANESTHESIA ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Omaha Pain Management
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144626581
- **Authorized official:** PAM SMITH (OFFICE MANAGER)
- **Authorized official phone:** (712) 322-5565

## Contact information

- **Practice address:** 3213 S 24TH ST, SUITE 101B, OMAHA, NE 68108-1832
- **Practice address phone:** (402) 502-7045
- **Practice address fax:** (712) 322-5566
- **Mailing address:** PO BOX 1988, COUNCIL BLUFFS, IA 51502-1988
- **Mailing address phone:** (712) 322-5565
- **Mailing address fax:** (712) 322-5566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/12/2014
- **Last updated:** 11/12/2014