Organization
OZARKS ANESTHESIA ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BRASSFIELD (OFFICE MANAGER)
(417) 256-2225
Entity
Organization
Contact information
Practice address
1390 BILL VIRDON BLVD, WEST PLAINS, MO 65775-3383
(417) 256-2225
(417) 256-2373
Mailing address
1390 BILL VIRDON BLVD, WEST PLAINS, MO 65775-3383
(417) 256-2225
(417) 256-2373
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD 102941
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501035703
—
MO
Enumeration date
09/07/2006
Last updated
06/15/2010
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