Individual
CHRISTINE LIANA HOGENDOBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
30 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 334-9606
(573) 334-9608
Mailing address
30 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 334-9606
(573) 334-9608
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
128771
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110375
HEALTH LINK
MO
01
—
166636
BCBS
MO
01
—
430080191
RAILROAD MEDICARE
MO
05
—
915274013
—
MO
01
—
A141
CHAMPUS TRICARE
MO
Enumeration date
04/06/2006
Last updated
07/08/2007
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