Individual
MR. CASEY LANE TRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN, CCRN
Contact information
Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 556-3729
Mailing address
6202 W BUCKEYE DR, ROGERS, AR 72758-6050
(417) 861-5866
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2015020712
MO
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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