Organization
BLUE CLOUD ANESTHESIA, LLC
Active
Parent organization
BLUE CLOUD ANESTHESIA, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLUE CLOUD ANESTHESIA, LLC
Authorized official
DEVIN LARSEN (CEO)
(208) 340-1840
Entity
Organization
Contact information
Practice address
12184 NATURAL BRIDGE RD # 90, BRIDGETON, MO 63044-2017
(314) 391-4936
(314) 474-0191
Mailing address
9709 LAKESIDE BLVD STE 350, SPRING, TX 77381-1213
(713) 489-2198
(713) 489-2978
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
01/27/2025
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