SHANE A. SEVERNS

SPRINGFIELD, MO
NPI1215978721
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  2001023149)
Enumeration Date2006-06-08
Last Update Date2008-07-15
Business Address
Mr. SHANE A. SEVERNS CRNA
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-2829
Mailing Address
Mr. SHANE A. SEVERNS CRNA
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone number: 417-829-4620
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