Organization
SW ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVER WOLFE MD (OWNER)
(908) 653-9399
Entity
Organization
Contact information
Practice address
12345 W BEND DR STE 201, SAINT LOUIS, MO 63128-2254
(314) 722-2530
Mailing address
12345 W BEND DR STE 201, SAINT LOUIS, MO 63128-2254
(314) 722-2530
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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