Organization
HANNIBAL ANESTHESIA ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAREY LANDRUM (BUSINESS OFFICE MANAGER)
(573) 406-1301
Entity
Organization
Contact information
Practice address
98 MEDICAL DRIVE, HANNIBAL, MO 63401
(573) 406-1301
(573) 406-0511
Mailing address
PO BOX 511, HANNIBAL, MO 63401-0511
(573) 406-1301
(573) 406-0511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1037
BLUE CROSS/BLUE SHIELD
MO
01
—
406428
HEALTHLINK
MO
05
—
505377903
—
MO
Enumeration date
07/07/2005
Last updated
07/21/2022
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