Organization
MSMP ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA SALOME POEPSEL CRNA (OWNER ADMINISTRATOR)
(573) 449-3500
Entity
Organization
Contact information
Practice address
208 PORTLAND STREET, COLUMBIA, MO 65203
(573) 449-3500
Mailing address
PO BOX 388, NEWTON, KS 67114-0388
(316) 281-3700
(316) 282-4322
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190339
BCBS
MO
05
—
508358900
—
MO
Enumeration date
01/24/2006
Last updated
08/27/2008
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