Organization
MIDWEST ANESTHESIA ALLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C BROWNING CRNA (OWNER)
(573) 355-4158
Entity
Organization
Contact information
Practice address
503 E NIFONG BLVD, PMB 266, COLUMBIA, MO 65201-3792
(573) 355-4158
Mailing address
503 E NIFONG BLVD, PMB 266, COLUMBIA, MO 65201-3792
(573) 355-4158
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619144326
—
MO
Enumeration date
05/12/2008
Last updated
05/12/2009
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