Organization
ANESTHESIA CONSULTANTS OF PETTIS COUNTY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH ROLLER MD (OWNER)
(888) 447-7220
Entity
Organization
Contact information
Practice address
1600 N 2ND ST, CLINTON, MO 64735-1192
(888) 447-7220
(336) 884-1643
Mailing address
PO BOX 411881, KANSAS CITY, MO 64141-1881
(888) 447-7220
(336) 884-1643
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/12/2007
Last updated
08/06/2007
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