Individual
JEFFREY D HEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
499 COUNTRYSIDE DR, ROLLA, MO 65401-4722
(210) 633-6110
Mailing address
499 COUNTRYSIDE DR, ROLLA, MO 65401-4722
(210) 633-6110
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
72284
TX
Other
Enumeration date
06/12/2006
Last updated
03/26/2009
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