Organization
BALLAS ANESTHESIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS R FICHTER MD (CFO)
(314) 996-5330
Entity
Organization
Contact information
Practice address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5330
(314) 810-1399
Mailing address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5330
(314) 810-1399
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
503089500
—
MO
Enumeration date
05/04/2006
Last updated
09/28/2021
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