Organization
PROFESSIONAL ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH G FELDERHOFF CRNA (CRNA)
(816) 616-2512
Entity
Organization
Contact information
Practice address
2111 N WOODBINE RD, SAINT JOSEPH, MO 64506-2440
(816) 616-2512
Mailing address
P.O. BOX 790343, BIN # 150054, ST. LOUIS, MO 63179-0343
(913) 754-0467
(913) 341-5797
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
MO
Other
Enumeration date
07/03/2008
Last updated
01/30/2015
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