Organization
SOUTH COUNTY ANESTHESIA ASSOCIATES, LTD
Active
Parent organization
SOUTH COUNTY ANESTHESIA ASSOCIATES, LTD.
Other names
PRO Pain
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH COUNTY ANESTHESIA ASSOCIATES, LTD.
Authorized official
DONNA L RAU (OFFICE MANAGER)
(636) 386-7222
Entity
Organization
Contact information
Practice address
1601 WENTZVILLE PKWY, SUITE 109, WENTZVILLE, MO 63385-3814
(636) 332-6555
(636) 386-1170
Mailing address
PO BOX 22407, SAINT LOUIS, MO 63126-0407
(636) 386-7222
(636) 386-1170
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2012
Last updated
01/08/2013
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