John Michael Eaton CRNA

NPI 1316165731 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1316165731
Gender Male
Enumeration Date 04/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1701 LACEY
CAPE GIRARDEAU MO, 63701, US
Phone (573) 651-5562
Fax
Business Location
2319 TERRIE HILL ROAD
CAPE GIRARDEAU MO, 63701, US
Phone (573) 334-0243
Fax
Toxanomy
Taxonomy Code 367500000X
License State Missouri
License Number 32115
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According to our database, Mr. John Michael Eaton CRNA NPI is 1316165731, taxonomy code is 367500000X and license number is 32115, license state is located at Missouri. John Michael Eaton CRNA physically located at 1701 Lacey, Cape Girardeau MO, 63701. NPI Number John Michael Eaton CRNA has the Individual type.

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1316165731 NPI number is provided on an as is basis without warranty of any kind. 1316165731 is maintained by the National Plan & Provider Enumeration System. The contents of John Michael Eaton CRNA are for informational purposes only.