Individual
MR. JEREMY MICHAEL DAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
201 NW R D MIZE RD, ANESTHESIA SERVICES OF BLUE SPRINGS/ST. MARY'S MEDICAL, BLUE SPRINGS, MO 64014-2513
(816) 988-8415
(816) 335-4003
Mailing address
1209 NW NORTH RIDGE DRIVE, SUITE B, BLUE SPRINGS, MO 64015-6320
(816) 988-8415
(816) 335-4003
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2004031152
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911059301
—
MO
Enumeration date
09/26/2006
Last updated
03/15/2013
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