NPI 1003062100

Physician Surgery Center

Organisation Certified Registered Nurse Anesthetist Rolla, MO

Practice location

Address: 1500 Hwy 72 East, Rolla, MO 65401-0000
Phone: (573) 426-6301
Fax: (573) 426-6304
Mailing address: 1207 Network Centre Dr P.O. Box 1294, Effingham, IL 62401-4632

Authorised official

Name: Ann Deters
Title: President
Phone: (217) 342-2255

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X

Other Nurse Anesthetist, Certified Registered providers in Missouri →

Registry record

NPI: 1003062100
Entity type: Organization
NPI issued: 8 Aug 2008
Record last updated: 13 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.