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Organization

MERCY CLINIC ANESTHESIOLOGY - WASHINGTON, LLC

Active
Parent organization
MERCY CLINIC EAST COMMUNITIES
Other names
St. John's Mercy Hospital Anesthesia Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
MERCY CLINIC EAST COMMUNITIES
Authorized official
JOHN W. HUBERT M.D. (PRESIDENT)
(314) 251-1560
Entity
Organization

Contact information

Practice address
901 E 5TH ST, WASHINGTON, MO 63090-3127
(636) 239-8000
Mailing address
901 E 5TH ST, WASHINGTON, MO 63090-3127
(636) 239-8000

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
367500000X
Certified Registered Nurse Anesthetist

Other

Enumeration date
07/29/2006
Last updated
04/11/2014
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