Organization
AUDRAIN HEALTH CARE INC
Active
Parent organization
AUDRAIN HEALTH CARE INC
Other names
Audrain Anesthesia Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
AUDRAIN HEALTH CARE INC
Authorized official
MR. DAVID A NEUENDORF (PRESIDENT CEO)
(573) 582-5000
Entity
Organization
Contact information
Practice address
620 E MONROE ST, MEXICO, MO 65265-2919
(573) 582-5000
(573) 582-3723
Mailing address
620 E MONROE ST, MEXICO, MO 65265-2919
(573) 582-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130994
BCBS
MO
Enumeration date
03/14/2007
Last updated
03/12/2008
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