Organization
MIDWEST ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WOOD (DIRECTOR)
(828) 236-3027
Entity
Organization
Contact information
Practice address
450 N NEW BALLAS RD, SUITE 103, SAINT LOUIS, MO 63141-6835
(314) 991-0776
Mailing address
450 N NEW BALLAS RD, SUITE 103, SAINT LOUIS, MO 63141-6835
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/02/2006
Last updated
06/23/2008
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