Individual
MILTON L TOUCHETTE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4500 MEMORIAL DR, ANESTHESIA DEPT, BELLEVILLE, IL 62223
(618) 257-4076
Mailing address
PO BOX 66971-CC, ST LOUIS, MO 63166
(314) 453-0600
(314) 453-0083
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209001284
IL
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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