Organization
AMBULATORY ANESTHESIA ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA MCCHRISTIAN (OFFICE MANAGER)
(660) 826-5960
Entity
Organization
Contact information
Practice address
3271 N WIMBERLY DR, FAYETTEVILLE, AR 72703-4033
(660) 826-5960
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181027002
—
AR
01
—
5G234
BCBS GROUP NUMBER
AR
Enumeration date
01/19/2010
Last updated
02/21/2020
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