Organization
AMBULATORY ANESTHESIA SERVICES OF SPRINGFIELD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA J PRICE (ASSISTANT ADMINISTRATOR)
(417) 882-1900
Entity
Organization
Contact information
Practice address
3045 S NATIONAL AVE, SUITE 101, SPRINGFIELD, MO 65804-4247
(417) 882-1900
(417) 882-1966
Mailing address
3045 S NATIONAL AVE, SUITE 100, SPRINGFIELD, MO 65804-4247
(417) 882-1900
(417) 882-1966
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
R9D64
MO
367500000X
Certified Registered Nurse Anesthetist
058813
MO
367500000X
Certified Registered Nurse Anesthetist
063768
MO
Other
Enumeration date
01/10/2006
Last updated
11/26/2007
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