Organization
EYE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN KILLOREN (ADMINISTRATOR)
(314) 686-4200
Entity
Organization
Contact information
Practice address
12990 MANCHESTER RD, SUITE 105, SAINT LOUIS, MO 63131-1860
(314) 686-4200
(314) 686-4201
Mailing address
12990 MANCHESTER RD STE 103, SAINT LOUIS, MO 63131-1860
(866) 226-9156
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/28/2012
Last updated
08/25/2023
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