Organization
MARSHALL ANESTHESIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LEES CRNA (PARTNER)
(660) 831-3213
Entity
Organization
Contact information
Practice address
2305 S HIGHWAY 65, MARSHALL, MO 65340-3702
(660) 886-9889
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3630
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18935029
BLUE CROSS OF KANSAS CITY
MO
05
—
503928004
—
MO
Enumeration date
05/18/2006
Last updated
04/29/2008
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