Advanced Anesthesia LLC

NPI #1902992175 in Festus, Missouri

Provider Information

NPI Number: 1902992175
Entity Type: Organization
Organization Name: Advanced Anesthesia LLC
Primary Specialty: Anesthesiology
Enumeration Date: Oct 5, 2006
Last Updated: Jul 11, 2008

Practice Location

Address: 1101 WEST GANNON ROAD
City: Festus
State: Missouri
ZIP Code: 63028
Phone: (636) 931-5997

Authorized Official

Name: MR. VERNON PHILLIP WEYGANDT, CRNA
Title: MEMBER
Phone: (636) 326-4716

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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