Individual
JONATHAN BRYAN SPERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
444 FOUR STATES DR, SUITE 1, GALENA, KS 66739-4324
(620) 783-4000
Mailing address
444 FOUR STATES DR, SUITE 1, GALENA, KS 66739-4324
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2014017974
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
43-557259-051
KS
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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