Individual
STEPHEN E DAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-3000
(913) 341-5797
Mailing address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-3000
(913) 341-5797
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2020019084
MO
367500000X
Certified Registered Nurse Anesthetist
AP114893
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017345
—
LA
01
—
110375
HELATH LINK
MO
01
—
166636
BCBS
MO
05
—
237246265401
—
IL
05
—
918965104
—
MO
01
—
A010
CHAMPUS TRICARE
MO
01
—
P00124736
RAILROAD MEDICARE
MO
Enumeration date
04/06/2006
Last updated
10/28/2024
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