Individual
RICK D BENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
250 NE MULBERRY ST, C/O SJS MEDICAL MANAGEMENT, LEES SUMMIT, MO 64086-4533
(816) 389-4130
(816) 389-4140
Mailing address
250 NE MULBERRY ST, C/O SJS MEDICAL MANAGEMENT, LEES SUMMIT, MO 64086-4533
(816) 389-4130
(816) 389-4140
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
086951
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
916815616
—
MO
01
—
AANA
044585
—
Enumeration date
05/08/2006
Last updated
08/16/2022
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