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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

NPI # 1376705848
LBN Legal business name BROAD MIDWEST ANESTHESIA, LLC
Authorized official GILBERT DROZDOW - (CHIEF CLINICAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/26/2008
Last updated 08/12/2019 - About 7 years ago
Identifiers
MO License # LC0897403
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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