NPI 1255541165

Roger Dean Faltys, CRNA

Practitioner Certified Registered Nurse Anesthetist Poplar Bluff, MO

Practice location

Address: 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396
Phone: (573) 727-2295
Mailing address: 3319 Foxwood CT, Poplar Bluff, MO 63901-9697

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 2005006645 (MO)

Other Nurse Anesthetist, Certified Registered providers in Missouri →

Registry record

NPI: 1255541165
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 May 2007
Record last updated: 8 Jul 2007

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.