Individual
CHRIS D MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5330
Mailing address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5330
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
070185
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430077172
RAILROAD MEDICARE
MO
05
—
912807823
—
MO
Enumeration date
05/05/2006
Last updated
06/06/2024
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