Organization
SOUTHEAST MISSOURI ANESTHESIA SERVICES, LLC
Active
Organization
SOUTHEAST MISSOURI ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONJAY JOSEPH FONN DO (OWNER/CEO)
(573) 651-1687
Entity
Organization
Contact information
Practice address
65 DOCTORS PARK STE A, CAPE GIRARDEAU, MO 63703-4927
(573) 651-1687
(573) 651-8734
Mailing address
PO BOX 614, CAPE GIRARDEAU, MO 63702-0614
(573) 651-1687
(573) 651-8734
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008003433
STATE BOARD
MO
Enumeration date
06/13/2013
Last updated
11/18/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up