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Contact Information

FOUR RIVERS ANESTHESIA
1111 E 6TH ST
WASHINGTON, MO63090-3308
 Phone: 636-239-1766
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for FOUR RIVERS ANESTHESIA · (Female)

NPI # 1487980397
Status Active
Credentials
Entity Individual
Enumeration date 10/28/2009
Last updated 10/28/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # R8N11
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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