Individual
MS. DANE AARON BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2 PROGRESS POINT PKWY, DEPT ANESTHESIOLOGY, O FALLON, MO 63368-2205
(800) 862-9980
(314) 362-1185
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(800) 862-9980
(314) 362-1185
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2019033779
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910079212
—
MO
Enumeration date
10/30/2019
Last updated
04/15/2025
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