Individual
CLIFFORD J HALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6350
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
141692
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
141692
MO
Other
Enumeration date
03/27/2006
Last updated
09/24/2007
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