Individual
JEFFREY TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-1111
Mailing address
12928 COUNTY ROAD 227, ORONOGO, MO 64855-9360
(417) 396-3283
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2023036826
MO
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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