Organization
ANESTHESIA ASSOCIATES OF BELLEVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL D SANDER MD (PRESIDENT)
(618) 257-4076
Entity
Organization
Contact information
Practice address
4500 MEMORIAL DRIVE, ANESTHESIA DEPT, BELLEVILLE, IL 62223
(618) 257-4076
Mailing address
4500 MEMORIAL DRIVE, ANESTHESIA DEPT, BELLEVILLE, IL 62223
(618) 257-4076
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
06/11/2006
Last updated
11/09/2007
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