TIMOTHY D FUNDENBERGER

BLUE SPRINGS, MO
NPI1053412601
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  131800)
Enumeration Date2006-09-26
Last Update Date2014-01-20
Business Address
-- TIMOTHY D FUNDENBERGER CRNA
1209 NW NORTH RIDGE DR STE B ANESTHESIA SERVICES OF BLUE SPRINGS
BLUE SPRINGS, MO 64015-6320
Phone number: 816-988-8415
Mailing Address
-- TIMOTHY D FUNDENBERGER CRNA
1209 NW NORTH RIDGE DR STE B ANESTHESIA SERVICES OF BLUE SPRINGS
BLUE SPRINGS, MO 64015-6320
Phone number: 816-988-8415