Organization
MID-AMERICA ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK COHEN MD (PRESIDENT)
(573) 875-8838
Entity
Organization
Contact information
Practice address
1000 W NIFONG BLVD, BLDG 6 #130, COLUMBIA, MO 65203-5615
(573) 875-8838
Mailing address
1316 OLD HIGHWAY 63 S, SUITE 102, COLUMBIA, MO 65201-6092
(573) 875-8838
(573) 875-8589
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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