Individual
SAMUEL L JEFFERS
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) 271-1365
(816) 271-6753
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-1365
(816) 271-6753
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2004021234
MO
Other
Enumeration date
01/08/2009
Last updated
10/29/2020
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