| NPI | 1023015468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY TERESA BAUER Secretary/Treasurer 573-339-7185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 000060205) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2018-06-15 |