South County Anesthesia Associates, Ltd

NPI #1114290749 in Wentzville, Missouri

Provider Information

NPI Number
1114290749
Entity Type
Organization
Organization Name
South County Anesthesia Associates, Ltd
Subpart
Yes (part of a larger organization)
Parent Organization
SOUTH COUNTY ANESTHESIA ASSOCIATES, LTD.
Primary Specialty
Clinic/Center - Pain
Enumeration Date
Feb 13, 2012
Last Updated
Jan 8, 2013

Practice Location

Address
1601 WENTZVILLE PKWY
Address 2
SUITE 109
ZIP Code
63385-3814
Phone
(636) 332-6555

Authorized Official

Name
DONNA L RAU
Title
OFFICE MANAGER
Phone
(636) 386-7222

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PainPain

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