Organization
DREAMLAND UAP ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY MICHELLE HARPER (OFFICER / ANESTHESIA PROGRAM MANAGE)
(972) 713-3547
Entity
Organization
Contact information
Practice address
100 VILLAGE SQ, HAZELWOOD, MO 63042-1820
(314) 373-8931
(314) 373-8935
Mailing address
15305 DALLAS PKWY, 1600, ADDISON, TX 75001-4637
(972) 713-3547
(972) 534-1568
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/12/2014
Last updated
12/16/2014
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