Individual
JACOB SCHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 326-6000
Mailing address
4691 S FARM ROAD 213, ROGERSVILLE, MO 65742-9266
(417) 224-7394
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
138671
MO
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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