GREGORY W BANTRUP MD

METRO-WEST ANESTHESIA GROUP INC

Dr GREGORY W BANTRUP MD is a male medical professional, specializing in Anesthesiology. He graduated in 1995 from University Of Kansas School Of Medicine.

Contact

METRO-WEST ANESTHESIA GROUP INC

1015 BOWLES AVE
FENTON
MO
630262394

Tel: 6364962000

GREGORY W BANTRUP MD Information

Npi 1215986435
Pac Id 8628058021
Professional Enrollment Id I20040726000357
Last Name BANTRUP
First Name GREGORY
Middle Name W
Suffix
Gender M
Credential MD
Medical School Name UNIVERSITY OF KANSAS SCHOOL OF MEDICINE
Graduation Year 1995
Primary Specialty ANESTHESIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name METRO-WEST ANESTHESIA GROUP INC
Group Practice Pac Id 2163329921
Number Of Group Practice Members 136
Line 1 Street Address 1015 BOWLES AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FENTON
State MO
Zip Code 630262394
Phone Number 6364962000
Hospital Affiliation Ccn 1 260005
Hospital Affiliation Lbn 1 SSM ST JOSEPH HEALTH CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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