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Individual

ALAN J BAUDLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
361 MORGAN MEADOWS LN, EOLIA, MO 63344-2236
(314) 265-8598
Mailing address
361 MORGAN MEADOWS LN, EOLIA, MO 63344-2236
(314) 265-8598

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
044374
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
430068228
RAILROAD MEDICARE
MO
05
918518564
MO
Enumeration date
11/07/2005
Last updated
11/15/2015
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