Provider Demographics
NPI:1841241072
Name:ANESTHESIA SERVICE, P A
Entity type:Organization
Organization Name:ANESTHESIA SERVICE, P A
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT ASPA
Authorized Official - Prefix:MR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ALBEE
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:913-682-1189
Mailing Address - Street 1:2205 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:66048-4508
Mailing Address - Country:US
Mailing Address - Phone:913-682-1189
Mailing Address - Fax:913-772-0127
Practice Address - Street 1:2205 S 4TH ST
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-4508
Practice Address - Country:US
Practice Address - Phone:913-682-1189
Practice Address - Fax:913-772-0127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty