Organization
ST JOSEPH ANESTHESIA SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT G JOHNSON D.O. (PRESIDENT)
(816) 943-2252
Entity
Organization
Contact information
Practice address
1000 CARONDELET DR, KANSAS CITY, MO 64114-4673
(816) 943-2252
(816) 943-4656
Mailing address
10310 STATE LINE RD STE A, LEAWOOD, KS 66206-2695
(913) 647-4101
(913) 647-4121
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07990011
BCBS OF KANSAS CITY
MO
Enumeration date
08/14/2006
Last updated
08/22/2020
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