Individual
HALEIGH MARIE BIRKENHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-4557
Mailing address
609 W BRYANT ST, NIXA, MO 65714-8346
(660) 334-0800
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
32698122
MO
Other
Enumeration date
05/25/2022
Last updated
04/27/2023
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