# MID-MISSOURI ANESTHESIA CONSULTANTS PC

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

## Provider details

- **NPI number:** 1326091059
- **Authorized official:** JODIE EARNEY (ADMINISTRATOR)
- **Authorized official phone:** (573) 636-3483

## Contact information

- **Practice address:** 2505 MISSION DR, JEFFERSON CITY, MO 65109-9508
- **Practice address phone:** (573) 636-3483
- **Practice address fax:** (573) 636-3386
- **Mailing address:** 3218 EMERALD LN STE C, JEFFERSON CITY, MO 65109-6948
- **Mailing address phone:** (573) 636-3483
- **Mailing address fax:** (573) 636-3386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | MO | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | MO | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 02/17/2026