South County Anesthesia Associates, Ltd

NPI #1689947202 in Fenton, Missouri

Provider Information

NPI Number: 1689947202
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: 1055 BOWLES AVE
Address 2: SUITE 200
City: Fenton
State: Missouri
ZIP Code: 63026-2308
Phone: (636) 496-3900

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Pain — Pain	261QP3300X	Primary

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