Individual
MR. MARK JAMES VERCAUTEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY, SAINT LOUIS, MO 63110-1003
(800) 862-9980
(314) 362-1185
Mailing address
PO BOX 60352, SAINT LOUIS, MO 63160-0352
(800) 862-9980
(314) 362-1185
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2015011084
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910021455
—
MO
Enumeration date
01/27/2015
Last updated
08/20/2024
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