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Organization

ANESTHESIA ASSOCIATES OF ST. LOUIS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HANY B TADROS M.D. (PRESIDENT)
(423) 424-3829
Entity
Organization

Contact information

Practice address
ONE MEMORIAL DRIVE, ALTON, IL 62002-6722
(618) 463-7311
Mailing address
PO BOX 1125, MARYLAND HEIGHTS, MO 63043-0125
(888) 731-1036
(423) 892-5838

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
367500000X
Certified Registered Nurse Anesthetist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1083642003
IL
01
203133
BCBS OF MO
MO
05
500567102
MO
01
6032302
BCBS OF IL
IL
01
DO9360
RAILROAD MEDICARE
IL
Enumeration date
06/29/2006
Last updated
10/14/2011
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