Individual
THEODORE FRANK COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
801 N LINCOLN AVE, MONETT, MO 65708-1641
(417) 235-3144
(417) 354-1412
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2001004740
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
917439705
—
MO
Enumeration date
09/25/2006
Last updated
10/28/2019
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