Organization
BOONEVILLE ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CROUCH (MANAGER)
(660) 826-5960
Entity
Organization
Contact information
Practice address
100 HOSPITAL ST, BOONEVILLE, MS 38829-3354
(660) 827-0492
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/02/2026
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