Healthcare Provider Details

I. General information

NPI: 1043270465
Provider Name (Legal Business Name): ANESTHESIA PARTNERS, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 12/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6420 CLAYTON RD
SAINT LOUIS MO
63117-1811
US

IV. Provider business mailing address

6420 CLAYTON RD
SAINT LOUIS MO
63117-1811
US

V. Phone/Fax

Practice location:
  • Phone: 314-768-8442
  • Fax: 314-798-8918
Mailing address:
  • Phone: 314-768-8442
  • Fax: 314-798-8918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL HARTMANN
Title or Position: PRESIDENT
Credential: MD
Phone: 314-768-8442