White River Anesthesia Associates, INC

NPI #1013973296 in Branson, Missouri

Provider Information

NPI Number: 1013973296
Entity Type: Organization
Organization Name: White River Anesthesia Associates, INC
Primary Specialty: Anesthesiology
Enumeration Date: Apr 25, 2006
Last Updated: Jun 1, 2016

Practice Location

Address: 525 BRANSON LANDING BLVD
City: Branson
State: Missouri
ZIP Code: 65616-2052
Phone: (417) 239-3392

Authorized Official

Name: JACOB K. LUDER, M.D.
Title: PRESIDENT
Phone: (417) 239-3392

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiology	207L00000X	Primary

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