Individual
JASON BROOKS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 777-6911
(660) 826-4852
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 777-6911
(660) 826-4852
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
132099
MO
Other
Enumeration date
12/15/2005
Last updated
07/08/2007
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