Provider First Line Business Practice Location Address:
10310 STATE LINE RD STE A
Provider Second Line Business Practice Location Address:
ST JOSEPH ANESTHESIA SERVICES
Provider Business Practice Location Address City Name:
LEAWOOD
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66206-2695
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-647-4101
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/03/2006