Individual
MR. THOMAS R PIONTEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
901 E 5TH ST, WASHINGTON, MO 63090-3127
(636) 239-8301
(636) 390-7387
Mailing address
PO BOX 502852, ST. LOUIS, MO 63150-2852
(314) 364-4200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN070195
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
070195
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
912832730
—
MO
Enumeration date
11/14/2005
Last updated
11/05/2021
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