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Brent R Fairbanks, AA
Anesthesiologist Assistant in Springfield, Missouri
NPI 1538418793

Brent R Fairbanks is an Anesthesiologist Assistant based in Springfield, MO. Brent R Fairbanks practices in Springfield, MO and has the professional credentials of AA. The NPI Number for Brent R Fairbanks is 1538418793 and holds a License No. 2012028957 (Missouri).

The current practice location address for Brent R Fairbanks is 1235 E Cherokee, Springfield, MO and can be reached out via phone at 417-820-2829 and via fax at 417-820-8852.

Location: 1235 E Cherokee, Springfield, MO, 65801-2580
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538418793
Provider Name
Brent R Fairbanks
Credential
AA
Provider Entity Type
Individual
Gender
Male
Address
1235 E Cherokee, Springfield, MO, 65801-2580
Phone Number
417-820-2829
Fax Number
417-820-8852
Provider Enumeration Date
09/04/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1538418793 05 MO
P01129106 01 MO RR MCR
431560263 01 MO TRICARE
institution
Provider Business Practice Location Address Details
Address
1235 E Cherokee
City
Springfield
State
Missouri
Zip
65804-2203
Phone Number
417-820-2829
Fax Number
417-820-8852
person
Provider Business Mailing Address Details
Address
1235 E Cherokee
City
Springfield
State
Missouri
Zip
65804-2203
Phone Number
417-820-2829
Fax Number
417-820-8852
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Anesthesiologist Assistant
Speciality
-
Taxonomy
367H00000X
License No.
2012028957 (Missouri)
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
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