ROGER DEAN FALTYS

POPLAR BLUFF, MO
NPI1255541165
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  2005006645)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
-- ROGER DEAN FALTYS CRNA
2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901-3396
Phone number: 573-727-2295
Mailing Address
-- ROGER DEAN FALTYS CRNA
3319 FOXWOOD CT
POPLAR BLUFF, MO 63901-9697
Phone number: 573-778-9924
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