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Organization

SOUTHEAST ANESTHESIA SERVICES

Active
Parent organization
SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC
Authorized official
HUBERT KING (V PRES CFO)
(573) 331-6882
Entity
Organization

Contact information

Practice address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
(573) 331-6882
(573) 331-6887
Mailing address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
(573) 331-6882
(573) 331-6887

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
12/04/2012
Last updated
12/04/2012
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