Organization
MOBILE ANESTHESIOLOGISTS OF MISSOURI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT S GERSON MD (PRESIDENT & CEO)
(480) 276-2667
Entity
Organization
Contact information
Practice address
8420 W BRYN MAWR AVE, SUITE 300, CHICAGO, IL 60631-3479
(773) 355-5300
(773) 714-1353
Mailing address
8420 W BRYN MAWR AVE, SUITE 300, CHICAGO, IL 60631-3479
(773) 355-5300
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2011012170
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
726903
—
AZ
Enumeration date
07/28/2011
Last updated
07/28/2011
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