Organization
GUARDIAN ANESTHESIA ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD FOUST CRNA (MBR)
(573) 686-5550
Entity
Organization
Contact information
Practice address
219 PHYSICIANS PARK, POPLAR BLUFF, MO 63901-3956
(573) 686-5550
Mailing address
194 MALLARD TRAIL, POPLAR BLUFF, MO 63901-1571
(573) 686-5550
(573) 686-2139
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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