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NPI Code Detail

MEDICARE: MARSHALL COUNTY ANESTHESIOLOGY AND PAIN SPECIALISTS LLC

MEDICARE: MARSHALL COUNTY ANESTHESIOLOGY AND PAIN SPECIALISTS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP2900XPain Medicine (Anesthesiology) Physician
2207L00000XAnesthesiology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2DE9834OTHERALRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699710772
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARSHALL COUNTY ANESTHESIOLOGY AND PAIN SPECIALISTS LLC
Provider Business Mailing Address
First Line : PO BOX 1547
Second Line :
City : SEDALIA
State : MO
Zip : 65302-1547
Country : US
Telephone Number : 660-826-5960
Fax Number : 660-826-4852
Provider Business Practice Location Address
First Line : 8000 AL HIGHWAY 69
Second Line :
City : GUNTERSVILLE
State : AL
Zip : 35976-7140
Country : US
Telephone Number : 660-826-5960
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DEAN CHASSAY
Credential : MD
Telephone Number : 660-826-5960
Provider Enumeration Date : 06/20/2006
Last Update Date : 02/27/2020

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Practice Location Address:
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Directions to “MARSHALL COUNTY ANESTHESIOLOGY AND PAIN SPECIALISTS LLC ” Practice Location

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