Individual
JAMES H COLENCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 W 10TH ST, ROLLA, MO 65401-2905
(573) 458-8899
Mailing address
PO BOX 220, ROLLA, MO 65402-0220
(573) 458-8899
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN078634
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN078634
LICENSE
MO
Enumeration date
07/13/2009
Last updated
07/13/2009
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