Individual
PATRICK VESCOVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2525 GLENN HENDREN DR, LIBERTY, MO 64068-9625
(816) 781-7200
Mailing address
PO BOX 804408, KANSAS CITY, MO 64180-0001
(816) 461-8288
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
117750
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
919673509
—
MO
Enumeration date
03/22/2006
Last updated
11/13/2008
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