Revere Anesthesiology Llc

LBN: Revere Anesthesiology Llc
Revere Anesthesiology Llc is an health care organization with primary practice located at 1101 W Gannon Dr , Festus MO 63028-2602. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Revere Anesthesiology Llc can be contacted via phone (636) 931-5997, or through Maceren, Rodolfo L via phone (636) 933-6569.

Contact Information

Primary practice address
1101 W Gannon Dr Festus MO 63028-2602
Phone: (636) 931-5997
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Maceren, Rodolfo L Doctor of Medicine (MD)
Phone: (636) 933-6569

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X R6445 Missouri

Profile Details

NPI number 1912137712
LBN Legal business name Revere Anesthesiology Llc
DBA Doing business as
Authorized official Maceren, Rodolfo L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2009
Last updated Jul 15th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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