| Organization Name: | SOUTH COUNTY ANESTHESIA ASSOCIATES, LTD |
| NPI Number: | 1114290749 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DONNA L RAU (OFFICE MANAGER) |
| Mailing Address: | 1601 Wentzville Pkwy Suite 109 Wentzville |
| State: | MO US |
| Postal Code: | 633853814 |
| Phone Number: | 6363326555 |
| Fax Number: | 6363861170 |
| NPI Enumeration Date: | 02/13/2012 |
| NPI Last Update Date: | 01/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP3300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Pain |
| Taxonomy Definition: | |