Individual
MR. STEVEN P BOEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 781-2727
(417) 625-2279
Mailing address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 781-2727
(417) 625-2279
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
079871
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100248560C
—
KS
05
—
100787010B
—
OK
05
—
912750825
—
MO
Enumeration date
03/06/2006
Last updated
08/01/2016
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