Organization
BLUE VALLEY ANESTHESIOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS CASPER PALZER (CEO)
(913) 940-1675
Entity
Organization
Contact information
Practice address
12850 METCALF AVE, OVERLAND PARK, KS 66213-2622
(913) 940-1675
Mailing address
PO BOX 24406, SHAWNEE MISSION, KS 66283-4406
(913) 940-1675
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
S046029
KS
207LP2900X
Pain Medicine (Anesthesiology) Physician
S046029
KS
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/03/2009
Last updated
03/02/2011
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