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Organization
MOBILE ANESTHESIA CARE, LLC
Active
Organization
MOBILE ANESTHESIA CARE, LLC
Active
Other names
Mobile Anesthesia Care, Mobile Anesthesia Care
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN GRINDSTAFF MD (PRESIDENT)
(913) 428-2900
Entity
Organization
Contact information
Practice address
8717 W 110TH ST, SUITE 600, OVERLAND PARK, KS 66210-2144
(913) 428-2900
(913) 428-2951
Mailing address
8717 W 110TH ST, SUITE 600, OVERLAND PARK, KS 66210-2144
(913) 428-2900
(913) 428-2951
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00053011
BLUECROSS/BLUESHIELD
MO
05
—
100000590A
—
KS
05
—
100000590B
—
KS
05
—
500513601
—
MO
Enumeration date
03/20/2014
Last updated
03/24/2021
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