Individual
GUY A CORAZZIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1600 E EVERGREEN ST, CAMERON, MO 64429-2400
(816) 649-3215
Mailing address
1600 E EVERGREEN ST, PO BOX 557, CAMERON, MO 64429-2400
(816) 649-3215
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
053938
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
919129403
—
MO
Enumeration date
12/15/2005
Last updated
07/08/2007
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