Organization
SURGICAL ANESTHESIA OF GETTYSBURG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA BAKER BSN (EXEC. VICE PRESIDENT)
(225) 936-9186
Entity
Organization
Contact information
Practice address
54 THE LEGENDS PKWY, SUITE 159, EUREKA, MO 63025-3803
(225) 936-9186
Mailing address
54 THE LEGENDS PKWY, SUITE 159, EUREKA, MO 63025-3803
(225) 936-9186
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123456
TEMPORARY NUMBER
MO
Enumeration date
03/13/2007
Last updated
08/22/2020
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