Individual
TONY LEE ROBERTS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 302-1661
(573) 302-1719
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2017030710
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017030710
STATE CRNA LICENSE
MO
Enumeration date
08/24/2017
Last updated
06/12/2025
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