Organization
TB ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMRA BUSICK D.O. (SOLE OWNER)
(573) 686-5550
Entity
Organization
Contact information
Practice address
2103 SILVA LN, MOBERLY, MO 65270-3660
(660) 263-1266
Mailing address
30 HOLMAN RD, MOBERLY, MO 65270-3202
(573) 686-5550
(573) 686-2139
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043511447
BCBS
MO
05
—
1043511447
—
MO
Enumeration date
11/16/2010
Last updated
12/18/2013
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