Organization
PIASA ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS B BRUMMETT MD (MANAGING MEMBER)
(618) 465-7177
Entity
Organization
Contact information
Practice address
ONE MEMORIAL DR, ANESTHESIA DEPT, ALTON, IL 16200
(618) 465-7177
(618) 465-7176
Mailing address
ONE MEMORIAL DR, ANESTHESIA DEPT, ALTON, IL 16200
(618) 465-7177
(618) 465-7176
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
06/09/2006
Last updated
09/11/2025
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