Organization
AMBULATORY ANESTHESIA SERVICES OF MISSOURI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY R ANDERSON MD (PRESIDENT)
(314) 934-0386
Entity
Organization
Contact information
Practice address
1531 E 32ND ST, JOPLIN, MO 64804-2925
(417) 627-9699
(417) 627-9602
Mailing address
PO BOX 31518, DES PERES, MO 63131-0518
(314) 394-0386
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
08/27/2008
Last updated
12/02/2008
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