Whalio Doctors

NPI 1003220633

Austin Boone McClure, CRNA

Practitioner Certified Registered Nurse Anesthetist Joplin, MO

Practice location

Address
1102 W 32nd St, Joplin, MO 64804-3503
Phone
(417) 347-1078
Fax
(417) 347-1079

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 2014017971 (MO)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence 2008020244 (MO)

Registry record

NPI
1003220633
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Jun 2014
Record last updated
2 Jul 2014

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.