Organization
ADVANCED ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERNON PHILLIP WEYGANDT CRNA (MEMBER)
(636) 326-4716
Entity
Organization
Contact information
Practice address
1101 WEST GANNON ROAD, FESTUS, MO 63028
(636) 931-5997
(636) 937-7968
Mailing address
333 HAYS HILL DR, FENTON, MO 63026-3159
(636) 326-4716
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/05/2006
Last updated
07/11/2008
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