Organization
ADVANCED SPECIALTY ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY W GLASGOW CRNA (OWNER)
(785) 856-6170
Entity
Organization
Contact information
Practice address
1201 WAKARUSA DR, BLDG A SUITE 3, LAWRENCE, KS 66049-4722
(785) 856-6170
(785) 856-6171
Mailing address
PO BOX 388, NEWTON, KS 67114-0388
(316) 281-3700
(316) 282-4322
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
55036
KS
Other
Enumeration date
09/16/2006
Last updated
05/12/2011
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