| NPI Details | |
|---|---|
| NPI | 1578544763 |
| Gender | Male |
| Enumeration Date | 11/07/2005 |
| Last Updated | 11/15/2015 |
| Entity Type | Individual |
| Active | Over 12 years ago |
| Practice Location | |
|---|---|
| 361 MORGAN MEADOWS LN EOLIA MO, 63344-2236, US |
|
| Phone | (314) 265-8598 |
| Fax | |
| Business Location | |
|---|---|
| 361 MORGAN MEADOWS LN EOLIA MO, 63344-2236, US |
|
| Phone | (314) 265-8598 |
| Fax | (314) 895-3827 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 367500000X |
| License State | Missouri |
| License Number | 044374 |
| Remove 1578544763 NPI Number | |
According to our database, Alan J Baudler CRNA NPI is 1578544763, taxonomy code is 367500000X and license number is 044374, license state is located at Missouri. Alan J Baudler CRNA physically located at 361 Morgan Meadows Ln, Eolia MO, 63344-2236. NPI Number Alan J Baudler CRNA has the Individual type.
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1578544763 NPI number is provided on an as is basis without warranty of any kind. 1578544763 is maintained by the National Plan & Provider Enumeration System. The contents of Alan J Baudler CRNA are for informational purposes only.
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