Organization
SUMMIT ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB B. MILLER MD (PRESIDENT)
(913) 647-4100
Entity
Organization
Contact information
Practice address
6815 FRONTAGE RD STE B, MERRIAM, KS 66204-1555
(913) 318-3800
(913) 624-9971
Mailing address
2404 SW OLD PORT RD, LEES SUMMIT, MO 64082-7808
(913) 647-4100
(913) 647-4120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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