Organization
PROFESSIONAL ANESTHETIC CARE INC
Active
Other names
Professional Anesthetic Care
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH W NEUENSWANDER MD (VICE-PRESIDENT)
(816) 792-7037
Entity
Organization
Contact information
Practice address
2525 GLENN HENDREN DR, LIBERTY, MO 64068-9625
(816) 461-8288
(816) 461-6586
Mailing address
PO BOX 804408, KANSAS CITY, MO 64180-0001
(816) 461-8288
(816) 461-6586
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502559404
—
MO
Enumeration date
05/23/2006
Last updated
04/03/2020
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