Individual
MR. DARRELL EUGENE MEREDITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 PORTER AVE, AURORA, MO 65605-2365
(417) 678-2122
Mailing address
901 L C ROBINSON ST, AURORA, MO 65605-2582
(417) 678-0261
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
141567
MO
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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