Individual
MR. JOHN R BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 W 10TH ST, ROLLA, MO 65401-2905
(573) 458-8899
Mailing address
PO BOX 220, ROLLA, MO 65402-0220
(573) 458-8899
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0000472
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
2005035514
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005035514
LICENSE
MO
Enumeration date
05/09/2008
Last updated
02/24/2025
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