Individual
MR. BRANDON S TESAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
9600 NE 98TH TER, KANSAS CITY, MO 64157-7703
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
143803
MO
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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