Provider First Line Business Practice Location Address:
1209 NW NORTH RIDGE DRIVE, SUITE B
Provider Second Line Business Practice Location Address:
ANESTHESIA SERVICES OF BLUE SPRINGS
Provider Business Practice Location Address City Name:
BLUE SPRINGS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
64014-6320
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:
04/18/2007