Organization
NURSE ANESTHESIA OF MISSOURI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES W COTTRELL MD (PRES)
(573) 632-5357
Entity
Organization
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5357
Mailing address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5357
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
06/04/2006
Last updated
10/06/2007
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