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Organization

ANESTHESIA CARE PROVIDERS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM GEORGE HALL II CRNA (OWNER)
(660) 263-1266
Entity
Organization

Contact information

Practice address
2103 SILVA LN, MOBERLY, MO 65270-3660
(660) 263-1266
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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
197267
BCBS MO
MO
05
500773809
MO
Enumeration date
01/30/2006
Last updated
04/24/2008
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