Provider First Line Business Practice Location Address:
4150 N MULBERRY DR STE 100
Provider Second Line Business Practice Location Address:
ANESTHESIA SERVICES BLUE SPRINGS/BRIARCLIFF SURGERY CTR
Provider Business Practice Location Address City Name:
KANSAS CITY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64116-1779
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
816-988-8415
Provider Business Practice Location Address Fax Number:
816-988-8395
Provider Enumeration Date:
10/02/2006