Individual
GARRICK MICHAEL PROCTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2505 MISSION DR, JEFFERSON CITY, MO 65109-9508
(573) 636-3483
(573) 636-3386
Mailing address
3218 EMERALD LN STE C, JEFFERSON CITY, MO 65109-6948
(573) 636-3483
(573) 636-3386
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2021021979
MO
Other
Enumeration date
06/15/2021
Last updated
02/24/2026
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