Organization
MID-MISSOURI ANESTHESIA CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODIE EARNEY (ADMINISTRATOR)
(573) 636-3483
Entity
Organization
Contact information
Practice address
2505 MISSION DR, JEFFERSON CITY, MO 65109-9508
(573) 636-3483
(573) 636-3386
Mailing address
3218 EMERALD LN STE C, JEFFERSON CITY, MO 65109-6948
(573) 636-3483
(573) 636-3386
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
MO
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500734413
—
MO
05
—
505224105
—
MO
Enumeration date
05/17/2006
Last updated
02/17/2026
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