# ANESTHESIA ASSOCIATES OF BELLEVILLE

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

## Provider details

- **NPI number:** 1932141561
- **Authorized official:** DR. PAUL D SANDER MD (PRESIDENT)
- **Authorized official phone:** (618) 257-4076

## Contact information

- **Practice address:** 4500 MEMORIAL DRIVE, ANESTHESIA DEPT, BELLEVILLE, IL 62223
- **Practice address phone:** (618) 257-4076
- **Mailing address:** 4500 MEMORIAL DRIVE, ANESTHESIA DEPT, BELLEVILLE, IL 62223
- **Mailing address phone:** (618) 257-4076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 06/11/2006
- **Last updated:** 11/09/2007