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JEFFREY PORTER
Certified Registered Nurse Anesthetist
NPI: 1477901023IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered Nurse
Registered Nurse
Code: 163W00000X
2010000185(MO)
Certified Registered Nurse AnesthetistPrimary
Nurse Anesthetist, Certified Registered
Code: 367500000X
2016019080(MO)
CMS Specialties
PrimaryCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Education
OTHER
Class of 2016
Contact & Hours
- Address
- 5325 FARAON ST
SAINT JOSEPH, MO 64506 - Phone
- (816) 271-6350
Quick Facts
- NPI
- 1477901023
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 10
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