Organization
SSM HEALTH SLU HOSPITAL ANESTHESIA PHYSICIAN BILLING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN REWERTS (REGIONAL CFO/ AUTHORIZED OFFICIAL)
(314) 989-2034
Entity
Organization
Contact information
Practice address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2539
(314) 577-8000
Mailing address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2539
(314) 577-8000
(302) 709-2402
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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