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Organization

PHYSICIAN ANESTHESIA SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVE JOHANS (ADMINISTRATOR)
(636) 386-9224
Entity
Organization

Contact information

Practice address
17050 BAXTER RD., SUITE #110, CHESTERFIELD SURGERY CENTER, CHESTERFIELD, MO 63005
(636) 537-0122
(636) 537-0480
Mailing address
351 CONSORT DR., BALLWIN, MO 63011
(636) 200-4242
(636) 200-4243

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
10/03/2006
Last updated
08/22/2020
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