Gerald J Luchtefeld CRNA

NPI 1093891228 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1093891228
Gender Male
Enumeration Date 10/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3933 S BROADWAY
SAINT LOUIS MO, 63118, US
Phone (314) 268-6144
Fax
Business Location
940 WEST PORT PLAZA
STE 270
SAINT LOUIS MO, 63146, US
Phone (314) 453-0600
Fax (314) 453-0083
Toxanomy
Taxonomy Code 367500000X
License State Missouri
License Number 077785
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According to our database, Gerald J Luchtefeld CRNA NPI is 1093891228, taxonomy code is 367500000X and license number is 077785, license state is located at Missouri. Gerald J Luchtefeld CRNA physically located at 3933 S Broadway, Saint Louis MO, 63118. NPI Number Gerald J Luchtefeld CRNA has the Individual type.

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1093891228 NPI number is provided on an as is basis without warranty of any kind. 1093891228 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald J Luchtefeld CRNA are for informational purposes only.