# PROFESSIONAL ANESTHESIA SERVICES LLC

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

## Provider details

- **NPI number:** 1780847350
- **Authorized official:** DEBORAH G FELDERHOFF CRNA (CRNA)
- **Authorized official phone:** (816) 616-2512

## Contact information

- **Practice address:** 2111 N WOODBINE RD, SAINT JOSEPH, MO 64506-2440
- **Practice address phone:** (816) 616-2512
- **Mailing address:** P.O. BOX 790343, BIN \# 150054, ST. LOUIS, MO 63179-0343
- **Mailing address phone:** (913) 754-0467
- **Mailing address fax:** (913) 341-5797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | MO | Yes |

## Other

- **Enumeration date:** 07/03/2008
- **Last updated:** 01/30/2015