Individual
MR. GERARD DUNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2800 E ROCK HAVEN RD, HARRISONVILLE, MO 64701-4411
(816) 380-5888
(816) 887-0315
Mailing address
4609 SW OLYMPIA CIRCLE, LEE'S SUMMITT, MO 64082
(913) 558-3166
(816) 887-0315
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
079097
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
079097
MO
Other
Enumeration date
07/13/2006
Last updated
11/23/2020
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