Individual
DR. BENJAMIN ALTHUISIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0417
Mailing address
103 CHARLESTON WAY, SAINT ROBERT, MO 65584-7839
(479) 747-2586
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C003209
AR
Other
Enumeration date
08/22/2017
Last updated
12/29/2022
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