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Organization

GI ALLIANCE ANESTHESIA OF MISSOURI

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRANDI WHEELER (ANESTHESIA SUPPORT SERVICE COORDINA)
(817) 402-7526
Entity
Organization

Contact information

Practice address
17501 E US HIGHWAY 40 STE 213A, INDEPENDENCE, MO 64055-6445
(816) 478-4887
Mailing address
550 RESERVE ST STE 560, SOUTHLAKE, TX 76092-1607
(817) 402-7526

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
08/25/2022
Last updated
08/25/2022
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