Organization
TB ANESTHESIA ASSOCIATES, LLC
Active
Organization
TB ANESTHESIA ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMRA SUE BUSICK D.O. (OWNER)
(573) 814-6000
Entity
Organization
Contact information
Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6000
Mailing address
PO BOX 67, MOBERLY, MO 65270-0067
(573) 814-6000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2005006158
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649387531
INDIVIDUAL NPI
—
Enumeration date
11/17/2010
Last updated
11/17/2010
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