Individual
DAVID HOUZENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
120 HOSPITAL DR, LEBANON, MO 65536-9238
(417) 533-6100
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2015027438
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE
MO
05
—
PENDING
—
AR
05
—
PENDING
—
MO
Enumeration date
08/16/2015
Last updated
01/16/2025
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