Organization
PREMIER ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAFA FOROUGHI MD (PRESIDENT)
(314) 200-1462
Entity
Organization
Contact information
Practice address
760 OFFICE PKWY STE 100, SAINT LOUIS, MO 63141-7105
(314) 200-1462
(314) 942-1613
Mailing address
760 OFFICE PKWY STE 100, SAINT LOUIS, MO 63141-7105
(314) 200-1462
(314) 942-1613
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
MO
208VP0000X
Pain Medicine Physician
—
MO
367500000X
Certified Registered Nurse Anesthetist
—
MO
Other
Enumeration date
06/18/2006
Last updated
03/01/2024
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