TIMOTHY PAUL KORDICK

POPLAR BLUFF, MO
NPI1174796601
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  2004031215)
Enumeration Date2008-04-04
Last Update Date2008-04-04
Business Address
-- TIMOTHY PAUL KORDICK CRNA
2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901-3396
Phone number: 573-686-4111
Mailing Address
-- TIMOTHY PAUL KORDICK CRNA
PO BOX 88
POPLAR BLUFF, MO 63902-0088
Phone number: 573-727-2724
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