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Contact Information

BROAD MIDWEST ANESTHESIA, LLC
12345 W BEND DR
SUITE 200
SAINT LOUIS, MO63128-2182
 Phone: 314-843-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for BROAD MIDWEST ANESTHESIA LLC · (Female)

NPI Number 1376705848
Status Active
Credentials
Entity Individual
Enumeration date 06/26/2008
Last updated 08/12/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # LC0897403
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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