TRAVIS BURLEYSON

SAINT LOUIS, MO
NPI1386031482
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  2015011088)
Enumeration Date2015-04-16
Last Update Date2015-04-16
Business Address
-- TRAVIS BURLEYSON CRNA
10010 KENNERLY RD
SAINT LOUIS, MO 63128-2106
Phone number: 636-386-7222
Mailing Address
-- TRAVIS BURLEYSON CRNA
PO BOX 22407
SAINT LOUIS, MO 63126-0407
Phone number: 636-386-7222